A Face That Needed a Lift, Not a Thread Lift — and There Was a Reason | English Archive

Hello.

I’m Lee Won, the representative director of 21 Plastic Surgery^^

Many people think that a lift is a surgery to do later,

or a final-stage option.

But when treating patients,

there are definitely faces that need a lift rather than a thread lift.

Today, I’d like to introduce one such case.

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This patient was a woman in her mid-50s,

and her biggest concerns were deepened nasolabial folds and sagging across the face,

which made her look tired

and gave the impression that her lower face had collapsed.

Although there was visible loss of skin elasticity,

the real problem was the structure beneath the skin,

that is, the fascia (SMAS) and the entire lower facial tissue,

which had descended downward.

In cases like this,

simple thread lifting or an easy lift

may create temporary tightness,

but the effect is likely to be short-lived or leave only an artificial-looking result.

So in this case,

rather than a simple lift,

we needed a direction that would correct the structure itself

through a face and neck lift.

So the surgical plan was set as follows.

Surgical Plan

Face and neck lift, ultrasound (LSSA) suction of the front cheek and jowl

Transfer using fat harvested from double-chin suction: chin and nasolabial folds

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One week after surgery,

because bleeding during the procedure was minimized,

the patient had only light yellow bruising and swelling

rather than extensive bruising.

The boundary between the lower face and the neck line

had already begun to look more defined than before.

As the feeling of the entire face being pulled downward lessened,

this can be seen as a stage where the contours are beginning to settle upward.^^

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Two weeks after surgery,

the swelling had noticeably decreased,

and the facial contours were starting to show much more naturally.

The jawline and neck line began to appear more clearly separated,

and the heaviness in the lower face was noticeably relieved.

From this point on, the feeling of the contours naturally coming together becomes more pronounced,

and it is an important time to judge whether stable contour refinement was achieved without excessive pulling.^^

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One month after surgery,

the major swelling had mostly subsided,

and as the skin and fascia adapted to their new position,

this is the stage where the overall facial balance stabilizes.

In particular, the connection between the lower face and the neck line was maintained naturally,

and rather than looking like she had undergone surgery,

a relaxed impression was created, as if this had always been her original face.

The most important goal of a face and neck lift is

a result that does not look awkward even as time passes,

and at this point, we could confirm that direction was being well maintained.

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Why was a lift needed instead of a thread lift?

A thread lift is mainly a method that improves mild sagging

by pulling up the skin and subcutaneous fat layer.

On the other hand, when the nasolabial folds are deep, the lower face has collapsed,

and sagging extends to the neck as well,

the structure causing the sagging itself must be repositioned

in order to expect a result that is natural and lasts longer.

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At 21 Plastic Surgery,

rather than recommending surgery in a one-size-fits-all way,

we first focus on an accurate diagnosis of facial structure and the pattern of sagging.

In some cases, a lift is sufficient,

and when structural improvement is needed,

a face and neck lift can create a more natural

and stable result.

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If you are considering a thread lift,

or if the effect of a previous procedure did not meet your expectations,

it may be worth calmly checking, through a professional diagnosis,

what choice is most needed for your face right now.

If you have any questions,

please feel free to contact us for a consultation at any time.

Thank you.

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A Face That Needed a Lift, Not a Thread Lift — and There Was a Reason

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