Dr. Coleman's Comments:
Many people do not realize that a facelift is not any one operation that is repeated on every patient. In fact, a facelift will be done in different ways by different surgeons. An experienced surgeon (who can learn from his experience) tailors the procedure to the needs and wants of the patient. There are also different philosophies on how to treat the skin and the muscles of the face. For years, doctors simply undermined the skin and stretched it backwards. In the “80’s, we discovered that longer lasting results could be obtained by working with the muscle layers and the submuscular aponeurotic system (SMAS). By treating this supporting framework, the skin holds up longer. In the past five years, we have become bolder in our exploration of the face and learned that with a good knowledge of anatomy, the malar fat pad can be repositioned. This trend has provided a more natural rejuvenation of the cheek, and, with it, the corners of the mouth are also lifted.
I ensure the right combination of procedures so that the patient has a natural look, rather than an “operated look.” Please see the below photos that show the natural look that I have perfected.