Is there an ideal facelift procedure?

Abstract

The following article provides a review of the major rhytidectomy techniques in practice today. The current literature on facelift techniques generally details surgeons' methods and operative results. A few studies have compared results between methods. This review synthesizes the existing literature, incorporates the authors' experience and analysis, and addresses the considerations that should concern a surgeon in choosing the ideal facelift procedure for each patient. Additionally, operative results and modifications of the leading surgeons in the field are detailed. Techniques discussed include the traditional rhytidectomy, deep-plane or composite techniques, limited incision approach (e.g. lateral SMASectomy, S-lift, MACS-lift) and suspension suture lift (e.g. APTOS, Contour Threads). This article provides surgeons performing facial rejuvenation surgery with a reference for evaluating which surgical techniques to add into their repertoires and a consensus of the experts as to the indications for each procedure, from major operative procedures to techniques that can be performed in the office.