허쉬성형외과의원

Key Points to Know Before Facelift Surgery

Many people notice changes over time when looking in the mirror—such as a less defined jawline, deeper nasolabial folds, or sagging cheeks.

As aging progresses, concerns such as drooping along the jawline, more prominent smile lines, 

loss of facial contour, and a double chin-like appearance can make the face look more tired or older than it actually is.

In these cases, one of the procedures often considered is a facelift.

However, the important point is not to decide on surgery simply because “the face looks saggy,” but to first understand why the sagging is happening.

Today, we’ll explain the main causes of facial sagging, when a facelift may be considered, and what changes may be expected.

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​Common Causes of Facial Sagging?​​​​​​​​

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1. Decreased Skin Elasticity

As we age, collagen and elastic fibers gradually decrease.

As a result, the skin loses firmness and begins to sag.

2. Changes in Fat Position

Facial fat tends to shift downward over time.

When areas such as the cheeks and deep cheek fat descend, 

nasolabial folds and jawline sagging may appear more prominent.

3. Laxity of Retaining Ligaments and the SMAS Layer

One of the key structures in facelift surgery is the SMAS layer.

The SMAS is a fibromuscular layer beneath the skin that plays a significant role in facial contour and sagging.

When this layer sags along with the skin, lifting the skin alone may not be sufficient for improvement.

4. Loss of Jawline Definition

As the jawline becomes less defined, the lower face may appear heavier, 

sometimes resembling a double chin.

What Is a Facelift?​​​​​​​​​

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A facelift is not simply about pulling the skin tighter.

It is a procedure that improves both the skin and the underlying SMAS layer and tissues to restore and refine the overall facial contour.

It is often considered for improving:

Jawline definition

Nasolabial folds

Cheek sagging

Lower face contour

When Might a Facelift Be Considered?​​​​​​​​​

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1. When the jawline has lost definition

: If the V-line becomes blurred and lower face sagging is noticeable.

2. When nasolabial folds become deeper

: Especially when combined with cheek sagging.

3. When deep cheek fat has descended

: If the area around the mouth appears heavier.

4. When skin elasticity has significantly decreased

: If non-surgical lifting treatments feel insufficient.

Expected Changes After a Facelift​​​​​​​​​

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While results vary from person to person, patients often expect:

Improved jawline definition

Reduction in lower face sagging

Softening of nasolabial folds

A clearer and more refined facial contour

The key is not an overly tight appearance, but a naturally refreshed and balanced look.

​Recovery Process After a Facelift​​​​​​​​​

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After surgery, temporary symptoms such as swelling, bruising, and a pulling sensation may occur.

These typically improve gradually over time.

During the early recovery period, it is important to:

Avoid intense physical activity

Limit alcohol and smoking

Follow compression care if advised

Get sufficient rest

Facial sagging is not caused by a single factor. It is influenced by a combination of skin, fat, the SMAS layer, and jawline structure.

For this reason, a facelift is not simply about tightening the skin—it is about accurately analyzing the underlying causes of sagging and addressing them appropriately.

Rather than aiming for an overly tight result, achieving a natural and harmonious facial contour is often the most important factor for satisfaction.​​