FACELIFT.STUDIO
A woman in her fifties with short silver hair, hand at her cheek, on a light grey background

Facelift surgeons and facelift research

US facelift surgeons scored on their research, teaching, society roles and shown work. Every facelift paper in PubMed, the meetings where new techniques are presented, and the lectures. Updated every week.

Dr. T. Gerald O'Daniel, head and shoulders, white background

Dr. T. Gerald O'Daniel, MD

Facelift and neck lift surgeon in Louisville, Kentucky. Board certified by the American Board of Surgery, the American Board of Otolaryngology - Head and Neck Surgery and the American Board of Plastic Surgery.

Facelift papers in PubMed
16 (10 since 2021)

Current facelift findings

From papers published since 2023. Each links to the paper and the science page.

922
Gland reductions, no sialocele

Submandibular gland reduction in seven steps

O'Daniel's Carina technique reduced both glands in every patient with no postoperative hematoma.

160
Deep plane facelifts, randomized

Hemostatic net against drains

The net and surgical drains gave equal hematoma and seroma rates.

0.6%
Pooled hematoma rate with the net

Hemostatic net meta-analysis

Eleven studies were pooled; superiority over standard care was not shown.

The platysma is innervated in segments

The branches to the lower platysma end at the lower lip depressor, which explains recurrent neck bands and lip weakness after neck lift.

68%
Neck lift patients treated before

Neck lift after nonsurgical treatment

Fibrosis followed injectables and energy devices, and most patients needed deep cervicoplasty.

7%
Midface volume lost per 10 kg

GLP-1 weight loss and the midface

Most of the loss comes from the superficial fat.

90%
AAFPRS surgeons doing deep plane

How facial plastic surgeons operate

Nerve injury was associated with deep plane surgery and frequent gland reduction.

18%
Facelifts that were secondary, 2021

Secondary facelifts are rising

In board case logs, secondary facelifts were 4% of the total in 2006.

The facelift record

Counted from PubMed, NIH iCite and the meeting programs.

5,694
Facelift papers in PubMed
1,186
Published since 2021
25
Research topics
141
Meetings tracked

Newest facelift papers

The latest records entered in PubMed, read weekly.

2026
Prehabilitation for Aesthetic Surgery: An Evidence-based Guide
Malek AJ, Dong AJ, Broyles JM · Plast Reconstr Surg Glob Open · PMID 42781611
2026
The Anatomy of Sentinel Vein Based on Cadaver and Ultrasound
Zhao Y, Chen C, Zhang L, Li J, Lai F, Jin TT, et al. · J Craniofac Surg · PMID 42757998
2026

Facelift science

Each technique in the surgeons' own terms, with the papers behind it.

Facelift anatomy

The face is built in layers: skin, fat, a fibrous muscle sheet called the SMAS, a deep fascia, and the facial nerve branches under that fascia. Facelift techniques differ by which layer the surgeon lifts, which ligaments are released, and how close the dissection runs to the nerve.

Deep-plane facelift

A deep-plane facelift lifts the skin, fat and SMAS as one flap after releasing the ligaments that hold the cheek down, instead of lifting skin and SMAS separately. It dates to Hamra's 1990 paper and is now the most-used facelift among surveyed facial plastic surgeons, though head-to-head evidence of longer-lasting results is limited.

SMAS facelift techniques

Most facelifts tighten the SMAS, the fibrous layer under the facial fat, either by folding it with stitches (plication), cutting out a strip (SMASectomy) or lifting it as a separate flap. Reviews find high satisfaction with every SMAS method and no single method proven best.

Deep neck lift

A deep neck lift treats the structures under the platysma muscle (deep fat, the digastric muscles and the submandibular glands) as well as the skin and muscle on top. Surgeons add it when a neck stays full after skin and muscle tightening alone.

Hemostatic net and hematoma prevention in facelift

Hematoma, a collection of blood under the lifted skin, is the most common early complication of a facelift. Surgeons lower the risk by controlling blood pressure, by drugs such as tranexamic acid, and by the hemostatic net, a row of temporary stitches through the skin that closes the space where blood can collect.

Short-scar facelift and MACS lift

A short-scar facelift uses a shorter incision and less skin undermining than a conventional facelift, to limit scar visibility and recovery time. The best-known version, the MACS lift, holds the face up with purse-string sutures anchored at the temple; it acts mainly on the jowls and upper neck, and its effect on an aged neck is limited.

Subperiosteal, vertical and preservation facelifts

A subperiosteal lift raises the facial soft tissue from the bone, under the periosteum, and moves the whole "mask" upward. Vertical and "preservation" facelifts are newer variants that lift in a more upward direction and leave more tissue attached, often through endoscopic or hidden incisions.

Anesthesia and recovery in facelift surgery

Facelifts are done under general anesthesia, intravenous sedation, or local anesthesia with or without oral sedation, and most are outpatient operations in an accredited office facility. The anesthetic plan matters because blood pressure spikes, nausea and vomiting raise the risk of bleeding under the skin flap.

Fat grafting and volume with facelift

Faces age by losing volume as well as by sagging, so surgeons often inject the patient's own fat during a facelift to refill the cheeks, temples and folds. Part of the grafted fat does not survive, and some surgeons use injectable poly-L-lactic acid afterward to replace lost volume.

Most cited facelift papers

Sorted by citation count in NIH iCite.

1976
2001
Structural fat grafts: the ideal filler?
Coleman SR · Clin Plast Surg · PMID 11248861
2013
Nanofat grafting: basic research and clinical applications
Tonnard P, Verpaele A, Peeters G, Hamdi M, Cornelissen M, Declercq H · Plast Reconstr Surg · PMID 23783059
1992
Smoking and wound healing
Silverstein P · Am J Med · PMID 1323208
1989
The retaining ligaments of the cheek
Furnas DW · Plast Reconstr Surg · PMID 2909050