There are a number of approaches that address the signs of facial aging, which is the most common reason to undergo a facelift. These approaches have been refined over the years since the first facelift was performed, during which the skin was literally stretched over the face, the excess skin removed, and the edges stitched back together again.
Evidence of these early facelifts may still be seen in people alive today. It’s not hard to spot them, as the results never looked natural. In addition, the intervening years are often not kind to the faces of patients who underwent what was, at the time, a cutting-edge procedure.
However, techniques quickly progressed to treating underlying tissue slackness, and the emphasis shifted to obtaining a more natural, and hopefully longer-lasting, result. A procedure that is still popular today — the SMAS facelift — was a key innovation, paving the way for more difficult but effective techniques such as the deep plane facelift practiced by Dr. Bustillo.
However, the SMAS facelift only dealt with the tissues underlying the face and made no attempt to correct problems in the mid-face or neck. This requires a separate procedure to be combined with SMAS techniques to correct the effects of aging on the neck muscle.
As Dr. Bustillo puts it on his facelift web site:
“The facelift procedure should address the muscle by tightening it centrally below the chin and laterally near the corner of the jawbone.”
The aim of the platysmaplasty then, is to address the neck, by reducing signs of banding, tightening up the skin, removing fat, and re-creating a slimmer, smoother more youthful neck that doesn’t pull the rest of the face ever more downwards.
It is, however, only part of the facial rejuvenation process.
Platysmaplasty and the Deep Plane Facelift
Since Dr. Bustillo began practicing facelift surgery, he has used the deep plane technique. In fact, given his list of publications, one might almost say he’s something of a pioneer of the technique. His reasons for using it above others are eloquently detailed on his web site, but he summarizes it neatly as:
“This comprehensive lift allows the correction of the facial descent, deflation, and radial expansion that occurs in the aging face.”
In other words, it corrects sagging and wrinkles, as well as other signs of aging, such as the loss of jawbone definition caused by radial expansion. Correcting this requires tightening of ligaments and adjusting muscle placement and is one of the most difficult parts of the procedure. The results can be summed up as follows:
“In addition, the jawline definition is greatly improved due to the muscle work that is performed in the lower face and neck.”
So, in addressing the neck and mid-face using the platysmaplasty and the deep-plane facelift techniques together, better and longer lasting results can be achieved. But there’s one final reason that Dr. Bustillo gives for using these advanced surgical procedures:
“The most significant advantage, in my opinion, is the natural appearance that is attained with the deep plane facelift.”
To display evidence of this, he maintains a gallery of before and after facelift photos on his website. It is a great place to start for anyone considering a facelift, as they will see echoes of their own aging faces in many of the pictures, and see just how a talented surgeon can restore much of their youthful radiance.
To arrange a first consultation, Dr. Bustillo’s Florida based practice can be contacted on (305) 663-3380, as well as through the website. They are a professional and friendly team, whose only goal is to ensure that every patient gets the best possible advice for what can be positively life-changing surgery.