Modern facelift techniques go far beyond tightening the skin. The understanding of facelifts has evolved to include the realization that soft tissue elevation and resuspension, or support of the deeper tissue layers, is essential in obtaining significant and lasting changes. The SMAS (superficial musculoaponeurotic system) is a layer of tissue that covers the deeper muscles and fat in the cheek, lower face and neck. As we age, the SMAS and soft tissues of the midface descend in a vertical fashion, leading to nasolabial folds, marionette lines and jowls. Vertical high SMAS elevation allows for repositioning of the soft tissues and fat of the cheek and lower face in conjunction with reducing excess skin. Fat transfer is performed to restore volume where it is diminished. The final component addresses the neck, where vertical bands are treated and excess fat removed for a smoother, tighter jawline. All of the procedures work in tandem to restore your facial harmony.