Figure 10.

Example of a total composite flap facelift (later group). This 54-year-old woman (same patient featured in Figure 7) complained of looking tired and droopy. Examination showed severe ptosis of mid- and lower deep facial tissues, platysmal laxity, and upper and lower lid blepharochalasis. (A, C) Preoperative and (B, D) 14 month postoperative photographs of a facelift with skin and SMAS left attached in the DTZ. She also underwent midline corset platysmaplasty with digastric shaving and partial inferior platysmal transection, upper blepharoplasty, and transconjunctival lower blepharoplasty with fat repositioning. Elevation of midfacial highlights was significant in this case (16% on right and 10% on left). The incision is not visible and the jawline is restored, without excessive thinning of the tissues which can occur with lateral neck skin undermining.