Mini or “Skin Only” Facelift
Dr. Motykie generally advises against so-called “mini” or “skin-only” facelifts. While these procedures may sound appealing due to smaller incisions or faster recovery, they typically only tighten the skin without addressing the deeper layers of the face where true aging occurs.
Although the incisions may be similar to a full facelift, the results are often superficial, short-lived, and may create a pulled or “wind-blown” appearance. In many cases, patients come to Dr. Motykie after undergoing mini-facelifts elsewhere, seeking a revision with a more advanced technique that delivers natural, lasting improvement.
Traditional SMAS Facelift
The SMAS facelift (short for superficial musculoaponeurotic system) is a time-tested technique that addresses moderate to advanced aging in the mid-face, jawline, and neck.
During this procedure, discreet incisions are made around the ears, allowing the surgeon to lift and reposition the SMAS layer—the connective tissue beneath the skin—along with underlying muscles and fat. This method offers more dramatic and longer-lasting results than a skin-only facelift and is especially effective for improving jowls, sagging cheeks, and neck laxity.
While it delivers a deeper correction, the SMAS technique is less extensive than a deep plane facelift and may not produce the same level of midface rejuvenation.
Deep Plane Facelift
A deep plane facelift is considered the gold standard for patients seeking the most natural and comprehensive rejuvenation. This technique goes beyond the SMAS layer to release and reposition the deeper facial structures, including ligaments, muscles, and fat pads.
By lifting these deeper tissues, a deep plane facelift addresses the true structural causes of facial aging—not just the surface signs. This results in more dramatic, yet natural-looking improvements in the cheeks, jawline, and neck. It also allows for less skin tension, reducing the risk of a tight or artificial appearance. Repositioning the midface fat pads can further enhance cheek contour and create a more youthful facial shape overall.
Compared to a SMAS lift, the deep plane approach typically delivers longer-lasting, more refined results with a smoother recovery experience.
Ponytail Facelift
The so-called “Ponytail Facelift” refers to a technique designed to mimic the lifted look achieved when hair is pulled into a high ponytail—particularly around the outer eyes and upper cheeks. This approach typically involves hidden incisions within the hairline, through which the lateral brow and midface can be subtly elevated.
Because it does not address the lower face or neck, the Ponytail approach is often best suited for younger patients seeking facial reshaping rather than full facial rejuvenation. It can refresh the eye area and restore balance to the upper face without the need for more extensive surgery.
For patients with more advanced signs of aging, elements of the Ponytail-style lift may be combined with a SMAS or deep plane facelift to achieve comprehensive results across all areas of the face and neck.