ABSTRACT
Brow lifts and facelifts are commonly performed aesthetic procedures of the facial region. A cervicoplasty addresses the anterior or central portion of the neck. The most consistent method to obtain a long-lasting total facial rejuvenation involves a brow lift (endoscopic), a deep plane facelift and a cervicoplasty. This chapter discusses pre-operative assessment and patient selection, surgical execution and potential complications of each surgical procedure used in facial rejuvenation. Ideal neck appearance should include smooth neck skin, lack of submental lipomatosis, presence of defined jawline, subtle inframandibular concavities anterior to the sternocleidomastoid (SCM) muscles, a small thyroid cartilage and a cervicomental angle of 110°. The main benefit of a deep plane (SMAS flap) facelift is the ability to reposition the SMAS, which in turn reduces the amount of tension placed on the skin flap. It is easy to recognize patients who have had a 'skin'-only facelift by the 'pulled' appearance of the face, which can be quite unnatural.
