The subperiosteal facelift is a type of facelift that specifically targets the upper and middle third of the face. This procedure provides a vertical lift to the soft tissues of the face. It allows soft tissue remodeling and repositioning of the soft tissues at the level of their bony origins.
- avg. recovery
About the Procedure
The subperiosteal facelift differs from its counterparts such as the SMAS facelift in that it directly addresses the upper and middle third of the face. Upon completion of the procedure, patients will benefit from a vertical heightening of the soft tissue, allowing a doctor to reposition and shift the soft tissue into a more aesthetically pleasing shape, right at the tissue’s inception point. Procedure cost ranges from $6000-$10,000. To begin the procedure, hair is removed 3cm away from the hairline so that a lateral incision can be made higher into the head. This exposes and creates better access to deeper regions into the upper and middle third of the face. Then much like the SMAS incision, skin is dissected from the muscle to allow for manipulation of the tissue. The facial muscle will then be stretched into a new position that will create a tighter more rejuvenated look for the patient. The surgeon will focus on the cheeks, eye, and forehead region. Once the muscle has been sufficiently stretched, the muscle tissue will be sutured into place, extra skin will be excised, and the incisions will be closed.
Facelifts aim at making the candidate rejuvenate their face for a more youthful look. By "lifting" sagging cheeks and jawline skin, facelifts remove excess skin and tightens underlying tissue and muscle. The goal of a subperiosteal facelift is to correct sagging in the upper two thirds of the face.
What to Expect
The subperiosteal facelift is a type of facelift that specifically targets the upper and middle third of the face. Here is a quick guide for what to expect before, during, and after a subperiosteal facelift.
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 4 weeks before and after surgery
- No alcohol 2 days prior
- Do not eat or drink for at least 6 hours before
- Local anesthesia with sedation or general anesthesia
- Incision made within the hairline
- Skin is separated from the muscle
- Muscle raised and sutured into higher position
- Excess muscle tissue is removed
- Extra skin is excised
- Sutures to close
Recovery after a subperiosteal lift may take longer than other technique due to the depth of the incisions that are necessary. External stitches are removed after 1 week. There is normally swelling and bruising that may take several weeks to resolve. Most patients can return to work within 3 weeks of the procedure. Refrain from strenuous physical activity for 1 month since this could make the swelling and bruising worse. Final results are usually seen after 1 year.
The ideal candidate for a subperiosteal face lift is relatively young with minimal soft tissue sagging.
Not Recommended For
A subperiosteal facelift is not recommended for patients 60 years of age or older with severe wrinkles or soft tissue ptosis in the nasolabial fold and jowls.
Side effects from a subperiosteal facelift may include swelling, infection, facial numbness or nerve palsy, delayed wound healing, and facial asymmetry.