In a facelift, is the underlying tissue always tightened?

Question:

In a facelift, is the underlying tissue always tightened? Or is the skin just pulled up higher? I am imaging that the skin is pulled up to the incision at the hairline and the extra skin is cut off there

Answer:

In a facelift we always do a deeper tissue suspension or tightening. The purpose of this is it allows us to move the skin back to take up the excess slack and trim the excess skin along the hairline and in front of the ear by placing the skin under no tension at all. This allows the most desirable incision line as opposed to the older techniques where the skin was pulled tight. This is essentially what I do in any patient that is having either a primary or secondary facelift procedure. In the secondary facelift procedure the old incision or scar is removed leaving the patient with only one incision.

Posted by Dr. Williams