There are some typical changes in the human face such as flabby cheek fats,
significant lining of the cheek-lip path (nasolabial sulcus), flabby necks,
wrinkled eyes and mouth, wrinkled necks, flabby eyebrows, when the glands under
the skin lose their characteristics or change their places due to ageing and
the gravity.

The skin is cut from the temple to the hairy skin of the front of the ear, from
below the ear ladle to the back of the ear, and to the hairy skin. After the
flabby structures under the skin are replaced, the excess skin is removed and
the skin is stitched. In order to avoid leaking in the first 48-72 hours,
drains are applied. When the cut is located in the hairy skin distinction line
and in the curve in front of the ear, the post-operation traces will not be
recognisable.

The patient is let to go back to his daily activities following the 3-5 days of
dressing. Although many methods are used in face lifting, the most effective
and reliable one is SMAS plication and its being fixed to the stable points. By
this way, the complications such as flabby ears and enlarged scar traces are
avoided.

As we have stated above, during the ageing period, eyes and the middle face are
also affected. Beside the standard face lifting operation, these regions are
also to be evaluated and included in the surgical procedure when necessary. We
apply the operation to the middle of the face when the operation for the eyes
is considered. (midface lifting)