what is the best facelift procedure
Feb 14, 2022

Many people looking for a more youthful appearance will seek out procedures that will help improve lines, wrinkles and sagging skin. While Botox, fillers or laser treatments can improve lines and wrinkles, little can be done about sagging skin, sometimes referred to as skin redundancy.

At this point, people will look at having a Rhytidectomy or what’s commonly known as a facelift.

Several different facelifts are available, and your surgeon will advise you which type suits your particular case. Some facelifts will involve tightening the neck simultaneously; others may include a brow lift.



Mini facelifts are ideal for people who have a mild degree of sagging or jowls; the procedure can help address undesirable signs of ageing before they become too prominent.

This less invasive technique permits the surgeon to tighten the deep facial tissues through shorter incisions along the hairline, in the natural creases above and below the surrounding ear. The mini facelift corrects jowling by lifting and tightening structural tissues around the cheeks; the procedure can also refine the jawline and give a fresher, rejuvenated look.

If you think the mini-facelift may be right for you, speak to a surgeon who will recommend the best option for you. Depending on your individual case, the surgeon may choose to perform the procedure using local anaesthesia with sedation where you will be awake or general anaesthesia where you will be entirely under. Opting for the mini facelift early-on may postpone the need for more extensive surgery later.

The Recovery period for the mini facelift is less than that of a traditional or complete facelift. However, there will still be swelling and possibly bruising; for this reason, people usually take at least a week off work. Every surgeon will have their post-surgical recovery instructions, and some may ask the patient to wear a surgical neck or chin garment to help reduce swelling and allow your skin to adapt to the new face shape. As with most surgical procedures, the improvements will continue for several weeks or months after surgery.


A mid facelift tries to address the problems of sagging cheeks and loose or baggy eyelids. As the cheeks sag, a fold can develop between the nose and the corner of the mouth, referred to as the nasolabial fold, further adding to the ageing appearance. The mid-face procedure lifts the mid-portion of the face, restoring the youthful connection between the lower eyelid and cheek. On some occasions, mid facelifts are done to correct the lower eyelid from pulling down, sometimes resulting from previous eyelid surgery.

Depending on the individual, some surgeons may recommend a combination of mid-facelift and traditional facelift techniques, possibly combined with eyelid surgery and fat grafting. The mid-facelift procedure often uses incisions in the lower eyelid, similar to those in lower eyelid surgery or blepharoplasty. In other instances, incisions are made in the hair of the temple region, and less frequently, longer incisions can go from just above each ear within the hairline. The front cheek muscles and tissues are lifted higher along the bone, restoring a more youthful face.

The SMAS Lift



The SMAS or superficial musculoaponeurotic system facelift gives a natural and long-lasting result, particularly effective in treating sagging of the mid-face, jaw and neck; in some cases, the forehead may also be included in the procedure.

The two-part technique of the SMAS facelift incorporates skin tightening and the underlying structure, allowing the surgeon to customise the result better. An incision is made behind the hairline at the temple, allowing the surgeon to lift and reposition the SMAS, reducing laxity and permitting tightening of the facial structure. The procedure also involves a neck lift, as the SMAS connects to the platysma muscle in the neck.

The Deep plane facelifts are similar to the SMAS lift, but rather than using the two-part technique, the surgeon will lift the SMAS and skin simultaneously. Although this procedure allows for better blood circulation, it does not have the flexibility to make tailored adjustments. Since the tightening process happens at a deeper musculature level than with other facelifts, some surgeons will choose this method for patients with deeper jowls or more skin laxity for a more dramatic effect.

Thread facelifts



Thread lifts have been around for quite some time, but they have had a bit of a bad rap in the past; these days, the materials used in the dissolvable threads are much improved, allowing for more satisfactory results.

The thread lift is a procedure that uses temporary sutures or threads to produce a subtle but evident elevation in the skin. In contrast to the surgical facelifts I’ve mentioned, the surgeon does not remove the patient’s loose facial skin; instead, they will suspend it, inserting barbed or cogged threads.

The specific thread technique pulls the skin back slightly, lifting and tightening the face. In addition to the lifting, the threads invoke collagen production as a healing response to the procedure. Over time, the threads will dissolve. However, the collagen produced plays an essential role in anti-ageing, and patients will notice a gradual improvement in their skin tone and firmness.

Often referred to as the “Lunch hour facelift”, the thread lift is a relatively simple procedure and can be done under local anaesthesia in a doctor’s office. Patients can go home immediately with minor swelling, redness or bruising with minimal or no pain medication. That being said, you will need to take a few little precautions while healing.

While the thread lift may be appealing, not everyone is the right candidate for this minor procedure. It’s essential to have realistic expectations about the outcome and not expect significant changes. The final result will provide noticeable improvement, but nowhere near the same as a complete surgical facelift.


by Lynda Naji