Ageing affects the face not only at the skin level but also at deeper structural layers. Over time, facial muscles weaken, fat pads descend, and soft tissues shift downward in relation to the underlying bone. This leads to drooping brows, sagging cheeks, deep nasolabial folds, jowls, and a tired or aged appearance. While surface-level treatments may offer temporary improvement, they cannot correct these deeper anatomical changes.
Subperiosteal facelift is an advanced facelift technique designed to reposition the deeper facial tissues back to their original anatomical location. Instead of pulling only the skin, this procedure works at the level of bone and muscle support, restoring natural facial structure and youthful contours. It is especially suitable for patients with good skin quality but noticeable sagging of deeper facial tissues. When performed on the right candidate, subperiosteal facelift delivers long-lasting, natural-looking rejuvenation without an over-tightened appearance.
What is a subperiosteal facelift?
A subperiosteal facelift lifts facial tissues from the bone level to restore youthful structure.
- Targets deep facial layers, not just skin
- Repositions muscles and soft tissues upward
- Provides natural and long-lasting rejuvenation
Who is an ideal candidate for subperiosteal facelift surgery?
Patients with good skin tone but deep facial sagging are ideal candidates.
- Droopy eyebrows and sagging cheeks
- Deep nasolabial folds
- Jowls and mouth corner drooping
Why does facial sagging occur with ageing?
Ageing causes downward movement of fat and soft tissues relative to bone.
- Loss of muscle support
- Descent of facial fat pads
- Weakening of connective tissues
How is a subperiosteal facelift different from a traditional facelift?
Subperiosteal facelift works at deeper structural levels than conventional facelifts.
- Lifts tissue from bone layer
- Preserves natural facial expression
- Reduces skin-only tension
Where are incisions made during subperiosteal facelift surgery?
Incisions are placed discreetly within natural creases and hair-bearing areas.
- Temple region
- Along natural ear contours
- Behind the ear and into hairline
What happens during the subperiosteal facelift procedure?
The surgeon lifts deeper facial tissues and removes excess fat for firm contouring.
- Deep tissue and muscle repositioning
- Removal of excess fat where needed
- Restoration of youthful facial structure
How are incisions closed after surgery?
Incisions are closed using sutures, staples, or tissue glue.
- Supports faster healing
- Minimizes scarring
- Sutures removed after 4–7 days
What type of anesthesia is used for subperiosteal facelift?
The procedure is performed under appropriate anesthesia for patient comfort.
- Local anesthesia with sedation or general anesthesia
- Choice depends on surgical extent
- Discussed during consultation
What should be expected after subperiosteal facelift surgery?
Temporary swelling and discomfort are common after surgery.
- Pain relief medications prescribed
- Head elevation advised during rest
- Bruising gradually subsides
What is the recovery period after subperiosteal facelift?
Recovery usually takes about 2 to 3 weeks.
- Initial swelling reduces within weeks
- Gradual return to routine activities
- Final results refine over time
Are the results of subperiosteal facelift natural-looking?
The procedure restores facial structure without an artificial appearance.
- No skin-only tightening
- Maintains facial harmony
- Younger yet natural expression
Is subperiosteal facelift surgery safe?
The procedure is safe when performed by an experienced cosmetic surgeon.
- Advanced technique requires expertise
- Proper planning minimizes risks
- Strict post-operative care essential
Why is consultation important before subperiosteal facelift?
Consultation ensures correct technique selection and realistic expectations.
- Assessment of facial anatomy
- Discussion of benefits and risks
- Personalized treatment planning
Conclusion
Subperiosteal facelift is a powerful facial rejuvenation technique that addresses ageing at its structural root rather than merely tightening the skin. By repositioning deep facial tissues back to their natural anatomical position, the procedure restores youthful contours, improves facial balance, and delivers long-lasting results that appear natural and refined.
Selecting the right candidate and an experienced cosmetic surgeon is critical for achieving optimal outcomes. A detailed consultation helps determine suitability, explains the procedure thoroughly, and sets realistic expectations. When performed with precision and followed by disciplined aftercare, subperiosteal facelift surgery can significantly enhance facial appearance and confidence while preserving individual facial identity.
