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A Guide To

Surgery Process Guide to Subperiosteal Facelift Surgery

“The subperiosteal facelift is a procedure designed to rejuvenate the upper and middle thirds of the face.” – National Centre for Biotechnology Information 

A subpeiosteal facelift is extremely similar to the SMAS technique (technique A) but combines this procedure with an extra step in surgery. This includes vertically lifting the soft tissue from the underlying facial bones. It is performed at a much deeper level, lifting the skin to a more desirable position. 


Your surgeon will administer a general anaesthetic before the surgery commences. 

Cosmetic Surgery Technique Step
Cosmetic Surgery Technique Step

Just as in the SMAS technique, your surgeon will proceed to make an incision along your hairline. This incision will run down the hairline past the front of the ears, and back up into the hairline behind the ears.


Your surgeon will then vertically lift the soft tissues on your face. This particular procedure involves performing at the deepest layers of the facial structure, therefore your surgeon will remodel the excess tissues at their bony origins, also removing any surplus fat and skin. 

Cosmetic Surgery Technique Step
Cosmetic Surgery Technique Step

The skin is then lifted over the reconstructed tissue and stitched in place. 

Complications / Negligence Signs

This procedure often results in a longer period of facial swelling.

Cosmetic Surgery Complication
Cosmetic Surgery Complication

Hematoma – this occurs when blood collects outside of the blood vessels, rather like a big bruise. Most hematomas appear within twenty four hours of the surgery.


Damage to the nerves, which can be temporary or, in rare occurrences, permanent.  

Cosmetic Surgery Complication
Surgical Risks

General anaesthetic carries many serious risks, however, these are very rare (typically, these risks will occur one case in every 10,000). 

These complications can include:

-Anaphylaxis (a harmful reaction to the anaesthetic)

Inherited reaction to the anaesthetic

In extremely rare cases, death (approx. 1 death for every 100,000 general anaesthetics given).

These problems are more likely to arise if:

you are undergoing emergency surgery

you have other illnesses 

you are a smoker

you are overweight 

Your surgeon should talk you through these risks before your operation. 


If you would like more information, or sound, impartial advice on the decisions you should consider before undergoing cosmetic surgery, read the S.A.F.E Choice Guide. 

Questions & Concerns

Has your cosmetic surgery left you with questions and conerns about the success of your procedure?

Do you think you may have been a cosmetic surgery negligence? Our specialist solicitors may be able to start a claim for you.

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