With the facelift, what exactly does it mean when you tighten the underlying facial tissues? How is this done?
There are several layers of tissue in the face, the first being skin followed by underlying adipose (fat) tissue. The next layer is what is called the SMAS layer (Superficial MusculoAponeurotic System). This layer is a dense layer of tissue that at firmly attached to other surrounding tissues. By manipulating the SMAS layer and removing excess, the remaining SMAS can be “tightened” while at the same time not placing tension on the overlying skin. By doing this, the ultimate result gives a more refreshed natural appearance.