Facelifts were once known for their dramatic, tight results. But over the years, facial plastic surgery has shifted toward more natural, refined outcomes. At Sunder Plastic Surgery in Beverly Hills, double board-certified facial plastic surgeon Dr. Sarmela Sunder blends precision with artistry to deliver results that elevate each patient’s unique features.
Let’s explore how facelift techniques have evolved to become more sophisticated and customized.
The Early Days: One-Dimensional Lifts
In the early 20th century, facelifts focused only on tightening skin. Surgeons made incisions around the hairline and ears to pull the skin taut and remove excess tissue. While this smoothed wrinkles temporarily, it often created a tight, unnatural look.
At the time, little was known about how underlying muscles and fat influence facial aging. As a result, these early facelifts lacked depth and lasting impact.
The 1970s and 80s: Deeper Tissue Techniques
With growing knowledge of facial anatomy, the SMAS (Superficial Musculoaponeurotic System) facelift emerged. This approach targeted deeper facial layers, not just the skin, producing more natural and longer-lasting results.
What is the SMAS?
The SMAS is a fibrous layer of tissue that connects the facial muscles to the skin. Manipulating this layer during surgery allows for a more comprehensive and structural lift. Rather than simply pulling skin tight, surgeons began repositioning the SMAS to restore natural contours and reduce sagging more effectively.
This period marked a turning point where facelift surgery became more structural and less superficial:
- Deeper tissues were lifted, not just the skin surface
- Results appeared more balanced and natural
- The overly tight look of earlier facelifts was avoided
- Longevity improved through better anatomical understanding
Still, procedures were lengthy, recovery was demanding, and results were not always individualized.
The 1990s to Early 2000s: Customization and Combined Approaches
Facelift surgery entered a more artistic phase in the 1990s and early 2000s. Surgeons began blending techniques and tailoring them to each patient’s facial structure and aesthetic goals. Volume restoration became a major focus through fat grafting, adding softness and youthfulness.
Enhancements often included:
- Eyelid surgery for brighter, more open eyes
- Brow lifts to smooth the forehead
- Skin resurfacing for texture and tone
Meanwhile, injectables like BOTOX and dermal fillers allowed for early, non-surgical interventions. Patients now had more choices—and more natural-looking outcomes.
Today’s Facelift: Artistic, Personalized, and Preventative
Facelifts today are subtle, thoughtful, and designed to complement, not change, your natural beauty. At Sunder Plastic Surgery, Dr. Sunder uses advanced techniques like deep plane and mid-face lifts to restore youthful definition and symmetry. She also champions "pre-juvenation," a proactive philosophy that blends early surgical enhancements with non-invasive care to preserve beauty before aging becomes more pronounced.
Dr. Sunder's modern approach includes:
- Deep plane and mid-face techniques for refined, youthful results
- Bespoke surgical plans designed for your facial anatomy
- Integration of non-surgical methods for comprehensive care
- Efficient recovery with minimal visible scarring
Her facelift philosophy goes beyond aesthetics—it's about maintaining identity while aging beautifully.
Discover the New Era of Facial Rejuvenation with Dr. Sarmela Sunder
Facelift surgery has come a long way, from basic skin tightening to an elevated blend of science and aesthetics. At Sunder Plastic Surgery, Dr. Sunder leads this evolution with an approach that prioritizes natural beauty, precision, and personalization.
As a globally recognized, double board-certified facial plastic surgeon in Beverly Hills, Dr. Sunder delivers bespoke results that reflect your unique features and personal goals. Connect with Sunder Plastic Surgery to begin your journey toward timeless beauty and confident aging.
