ABSTRACT
There are several techniques described in relation to aesthetic surgery of the face and the neck. The author’s technique detailed in this chapter involves entering the deep plane to release the deep retaining ligaments of the face before restoring proportion and reducing deep volume in the neck in the quest to create exceptional and long-lasting results. The evolution of the face and neck lift technique has progressively addressed deeper layers throughout the last 50 years; from early skin-only lifting, to a myriad of methods to tighten the underlying superficial musculoaponeurotic system (SMAS) originally described by Swedish surgeon Tord Skoog in the 1970s. SMAS lift led to acceptable results for the time, it produced a predictably tighter jawline and some short-lived neck improvement but did little for the descended midface, which often needed concomitant volume with auto-logous fat transfer and/or midface lifting.
