Cosmetic Facial Surgery – The Facelift (Rhytidectomy) Incisions - Hairline Face Neck and Muscle Lifted / Tightened Excess Skin excised Scars in Hairline / Skin Creases Face Lifts…. eliminate excess fat tighten the muscles remove sagging skin Types of Facelift The SMAS Facelift (Sub Muscular Aponeurotic System) SMAS is a sheath of tissue investing the facial muscles). By tightening the SMAS the jowls are lifted the neck is tightened the cheeks are elevated Extended SMAS Facelift Skin and SMAS lifted all the way to nose Fat Pad over Cheek bones lifted Nasolabial Grooves improved Composite Face Lift Extended SMASS Lift Forehead Lift +/- Lower Eyelid Surgery Mask Lift More extensive procedure Tissue lifted at level of bone Additional incisions in mouth to free cheek All deep layers lifted Endoscopic Brow and Forehead Lift This procedure is designed to improve / eliminate /correct Forehead wrinkles Midline vertical and horizontal frown lines forehead / nose Downward slant and asymmetry of the eyebrows (ptosis) Crows feet wrinkles (lateral aspects of eyelids) Frontal skull bossing Prominence of (eye socket) orbital rims.