[The face lift, a light, efficient and long lasting operation]

Abstract

Since the Skoog's book, in 1974, the lifting was a sophisticated operation. But it was the necessary way! With the experience, we skept the aggressive actions, to keep only the essential. We don't use plication, as it's fair to do it today, but using an undermining and repositioning higher, allowing an effortless joining on the parotid fascia, giving a long lasting result. At the contrary, plication gives a joining, under permanent tension of fat lobules against fat lobules, friable tissue, so not reliable. This lifting is light because the skin undermining is virtual at the end of the process. It is efficient because the SMAS elevation is effortless. It is safe because the undermining is done in zone free of motor nervous branches (no paresia on over 2000 cases). It is long lasting because the joining is fascia against fascia, on a great surface. Today, the patients want a light operation, that's why the threads and aesthetic medicine have a large success. But, the lightest, the most efficient, the long lasting, the safest operation is the face-lift.