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Why Does My Face Still Look the Same Even After Having Many Lifting Procedures?

21성형외과의원 · 21 PLASTIC SURGERY · June 18, 2026

Hello. I’m Lee Won, the director of 21성형외과. Many people first try thread lifting or laser treatments. At first, they feel that the treatments are effective, but with repeated proce...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 21성형외과의원

Original post date: June 18, 2026

Translated at: August 17, 2026 at 2:19 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Why Does My Face Still Look the Same Even After Having Many Lifting Procedures? image 1

Hello.

I’m Lee Won, the director of 21성형외과.

Many people first try thread lifting or

laser treatments.

At first, they feel that the treatments are effective, but with repeated procedures, they begin to feel that the results are less significant than expected.

Today, I’ll explain why procedures alone have limitations and how a facelift can go beyond them.

Why Does My Face Still Look the Same Even After Having Many Lifting Procedures? image 2

Aging begins in the underlying structures, not the skin

Many people think of aging only as a loss of skin elasticity,

but in fact, it begins first in deeper layers.

Under the facial skin there is a structure called the *SMAS (superficial musculoaponeurotic system), as well as retaining ligaments that secure the full thickness of the skin to the bone.

As we age, these retaining ligaments stretch and weaken, causing the SMAS and skin to begin settling downward under gravity.

Sagging cheeks, deeper nasolabial folds, and a weakened jawline all originate from this process.

Because thread lifting and laser treatments act only on the skin layer, they cannot reach these deeper structures, which is why the tissues can quickly return to their original position even after being lifted.

Why Does My Face Still Look the Same Even After Having Many Lifting Procedures? image 3

I believe the most important step in a facelift is sufficiently releasing the retaining ligaments.

Before lifting the skin and SMAS, these retaining ligaments must first be adequately released so that excessive tension is not concentrated on the skin and the tissues can be naturally repositioned in the desired direction.

If the retaining ligaments are not released sufficiently, even strong traction may quickly result in the tissues returning to their original position, or the effects may not last long.

Conversely, after thoroughly releasing the retaining ligaments, if the SMAS and skin are lifted together, the underlying cause of the sagging itself is addressed, which can provide a more definite effect that lasts longer.

I also pay close attention to designing the incision sites. I design the incisions along the inside of the hairline and the contours of the ears so that the surgical marks are concealed as much as possible. This is always an important principle for me.

After recovery, the incisions are naturally concealed by the hair and ear lines, making it difficult to tell that the person has undergone surgery at all.

[Surgical Plan]

Full facelift and neck lift + liposuction (front cheeks, double chin) + muscle and salivary gland tightening + skin excision

Why Does My Face Still Look the Same Even After Having Many Lifting Procedures? image 4

This patient was a woman in her 40s who had undergone various lifting procedures over several years, but visited the clinic because her sagging cheeks, nasolabial folds, and weakened jawline had not improved significantly.

In the before-surgery photos, you can see that the cheek fat had settled downward, creating deep nasolabial folds. From the side, the boundary between the jawline and neck was indistinct.

Overall, she had an appearance that made her look about 10 years older.

After subcutaneous dissection, the retaining ligaments were sufficiently released, and the surgery was performed by lifting the SMAS and skin together.

Why Does My Face Still Look the Same Even After Having Many Lifting Procedures? image 5

Two months after surgery, the sagging cheek fat had been lifted back to its original position, greatly softening the nasolabial folds.

The previously weakened jawline seen from the side became distinct and clearly defined.

A facelift is not simply surgery that pulls the skin.

It is surgery that fundamentally lifts the facial structures that have settled downward with age.

If you are feeling limited results despite repeated procedures, it may be time to consider a different approach.

If you have any additional questions, please feel free to contact us at any time^^

Thank you.

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