By Dr. Tanveer A. Janjua, MD
The term ‘Facelift’ often gets lost in a sea of jargon and misconceptions. Simply put, a facelift is what you simulate when you gently pull your cheeks in front of a mirror to smooth out wrinkles and jowls. Known medically as rhytidectomy, facelift surgery has evolved significantly since its inception in the early 20th century, becoming a sophisticated procedure in cosmetic surgery.
The journey of facelift surgery began in 1901 with German surgeon Eugen Holländer in Berlin. His pioneering work involved removing excess skin and subcutaneous fat, which was groundbreaking but limited as it didn’t address the underlying muscle structure.
The procedure took a significant leap forward in the 1970s with Dr. Tord Skoog’s introduction of the SMAS (Superficial Musculoaponeurotic System) technique. This Swedish surgeon’s method involved repositioning both the skin and the SMAS layer, leading to more natural and durable results.
In the late 20th century, minimally invasive methods like the endoscopic facelift emerged. These techniques, while reducing scarring and recovery time, didn’t always achieve the same comprehensive results as traditional methods.
Another notable advancement was the Deep Plane Facelift by Dr. Sam Hamra. This technique delves deeper than the SMAS lift, repositioning muscles and fat for more extensive, natural-looking changes, particularly in the midface. This method is often considered a benchmark in modern facelift surgery.
Despite these advancements, a myriad of marketing terms like ‘short scar lift’, ‘mini facelift’, and ‘lunchtime facelift’ has clouded the understanding of facelift surgery. However, when it comes down to it, there are essentially two types of facelifts: a well-done facelift and a poorly done one.
It can be difficult for a patient to choose a surgeon. Usually, word of mouth works the best. Online reviews help a lot but you have to be careful about ignoring the real bad ones as long as those are not the majority. Looking at a plastic surgeon’s website is helpful. The next step would be to visit a few plastic surgeons and come prepared with your list of questions. Don’t forget to ask for some before and after photographs of the facelifts they have done.
I believe in educating my patients. Knowledge is empowering and also reduces the fear of surgery. In my facelift consultation, I examine the patient and explain to them the whole procedure with the details about anesthesia, incisions, recovery, etc. I answer all their questions and then have them look at the photo albums of the facelifts I have performed. The next step is for them to watch my videos on Facelift that explain the procedure in more detail and also follow the journey of some of my patients to give a true picture of the whole process. Lastly, I offer my patients the opportunity to talk to some of my previous patients who had a facelift done by me. I perform my facelifts at an outpatient surgery center and use hand-picked anesthesiologists and staff to help me. Having a regular team is the key, as it works like a well-oiled machine.
As a surgeon, I advocate for simplicity and trust. Instead of getting overwhelmed by technicalities, it’s crucial to find a skilled and trustworthy surgeon. I did my first facelift in 1997. Since then I have been improving upon my techniques and learning from my own experiences and other surgeons’ experiences as well. My approach is tailored to each individual, combining various techniques for a natural outcome, though I refrain from labeling it uniquely to avoid adding to the existing confusion.
In conclusion, let’s strip back the complexities and seek what truly matters – a ‘Good Old Fashioned Facelift’, executed with skill and care for a naturally rejuvenated appearance.
For more information on Dr. Janjua, to schedule a consultation, learn more about procedures or to hear from past patients on their experiences with Dr. Janjua, visit janjuafacialsurgery.com or call 908-470-2600 to schedule an appointment.
