A geometric facelift is an advanced plastic surgery technique designed for facial rejuvenation that lifts and repositions deep, sagging facial structures (SMAS) while preserving skin attachment to underlying deeper tissue. Geometric facelift surgery is a modification of the preservation deep plane facelift. This approach minimizes excessive skin tightening, resulting in a more natural, refreshed look with generally faster recovery times compared to traditional or mini-lift methods.
Preservation Facelift
In traditional facelift surgery, the facial skin and neck skin is typically separated from the underlying tissue called the SMAS, superficial musculoaponeurotic system. Plastic surgeons refer to this as delamination. The separation was previously felt to be necessary in order to lift the SMAS.
The traditional technique was used for years with adequate results. Older techniques have, however, relative shorter duration of results and the longer recovery as compared to newer techniques. Some patients had skin irregularities and prolonged swelling with traditional facelift surgery. These issues caused plastic surgeons to seek refinement in facelift techniques.
The deep plane facelift, on the other hand, keeps the skin attached to the SMAS. The preservation facelift is a modification of the deep plane facelift where even less skin is delaminated. This method repositions the deep tissues of the face to harmoniously restore the midface, jawline, and neck as a single, unified whole. As a result, the recovery tends to be faster and results lasting longer.
Geometric Facelift
The geometric facelift is a further modification of the preservation or deep plane facelift. Geometric patterns are used on the SMAS and skin when lifting to help minimize tension on skin and reduce scarring.
Key Features of a Geometric Facelift
Deep Tissue Repositioning: Instead of merely pulling skin, it targets the underlying SMAS tissue in the midface, lower face, and neck.
Volume Retention: By preserving fat pads rather than removing them, the procedure avoids a hollowed-out look.
Minimal Disruption: The technique limits the separation of skin from the SMAS tissue underneath, which maintains blood flow to the skin, reduces swelling, and minimizes bruising. Patients also tend to have smoother results.
Natural Results: Because the anatomical structures are repositioned rather than over-tightened, people say that the results look less “operated”.
Faster Recovery: Patients generally experience a shorter downtime, often with 7-10 days for the initial recovery, compared to 2-3 weeks for older or more extensive procedures. In addition, drains are typically not utilized, which leads to a more comfortable recovery.
Candidates for this facelift technique are generally in their 40s to 70s looking for moderate, natural-looking rejuvenation. They often have sagging tissue of the face, jawline, and/or neck. Geometric, preservation deep plane facelift may also be used in revision facelift surgery patients.
Dr. Chaboki utilizes a variety of facelift techniques and tailors each surgery to the specific needs of each facelift patient. As a facial plastic surgeon, he is one of a few facelift surgeons who focuses on advanced facelift techniques. He provides personalized care from consultation to recovery.
View a facelift testimonial 1-week after surgery:
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