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You may be surprised to hear that face lift operations have been performed by surgeons for more than a century. However, they really only came into fashion in the 1960s when they were carried out by highly qualified surgeons in hospitals. Prior to this, cosmetic surgery had all been rather secretive!
In the early days of face lifting, additional procedures to improve the neck were done in a separate operation at a later time, but today a facelift and neck lift are usually performed at the same time.
Other developments and refinements in how facelifts are carried out followed as more operations were performed. These included different incisions and stitching techniques in order to prevent women who had had face lifts looking like their skin had been stretched in a wind tunnel! Nowadays, face lift patients have a much more natural look to their faces after surgery.
The classic facelift or Rhytidectomy technique changed little until the early 1970s, when a Swedish surgeon, Tord Skoog, MD, presented and published his work about such operations. Skoog argued that face lifts could be made more successful in their look, and longer lasting in their effect, if tightening the muscles of the face and neck could happen as part of a face lift, as well as merely getting rid of any excess skin. This is known as a S.M.A.S. facelift.
In the late 1970s, some plastic surgeons began to use lipoplasty (<a href="/Treatments/Liposuction" target="_blank" rel="nofollow noopener">liposuction</a>) as a method of re-shaping the area beneath the chin and jaw line. They also started to use liposuction in any areas of the face which required it as part of a face lift.
The S.M.A.S. facelift is still the most commonly performed technique used today, although a number of other techniques have also been developed and have their fans. It is probably safe to say that there is no obvious “best technique” on which surgeons agree!
What many surgeons do agree on, however, is the ideal candidate for a facelift. This is someone who has loose facial skin but which still has some elasticity in it and a relatively well defined bone structure.
Patients are usually in their 40s, 50s, or 60s, but facelifts can be successfully performed on patients in their 70s and 80s.
We have, however, noticed a recent trend towards people in their late thirties seeking a facelift procedure.
According to statistics from the American Society for Aesthetic Plastic Surgery (ASAPS), 68,983 Americans had facelift surgery in 2019 to help reduce the appearance of loose skin and wrinkles around the cheeks and neck area, that's a decrease of 5.7% on 2018 figures, no doubt due to a rise in non-surgical solutions to facial ageing. Facelift is only the 7th most common surgical cosmetic procedure in the USA.
If you're considering a facelift, the following information will give you a basic understanding of the procedure. It can't answer all your questions, since a lot depends on the individual patient and the surgeon. Please ask your surgeon about anything you don't understand.

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