Your face does not age all at once. Over the years, the deeper support structure loosens, the cheek fat that once sat high begins to descend, and the skin that used to hold everything in place stretches. The result is the set of changes most people recognize in themselves: deeper lines from the nose to the mouth, jowls forming along a once-clean jawline, and a softening under the chin.
A facelift works on that deeper structure, not the skin alone. Beneath the skin is a layer of muscle and connective tissue called the SMAS (the superficial musculoaponeurotic system). Lifting and repositioning this layer is what gives a facelift its staying power and its natural look. A skin-only lift pulls the surface tight and tends to relax again quickly, which is where the over-pulled, windswept appearance comes from. By repositioning the layer underneath, Dr. Martin restores the support your face has lost and lets the skin settle naturally over it.
A neck lift addresses the area a facelift alone cannot fully reach. When the neck has loose skin, visible cords (the platysma muscle bands), or a heavy, fuller contour from a mix of fat and lax skin, the neck is tightened and refined so the jawline and neck match the rejuvenated face.