Comparing Facelift Surgery Techniques

Smiling middle aged woman adjusting her glasses

According to the recent data from The Aesthetic Society, one of the nation’s most popularly performed cosmetic surgeries is a rhytidectomy, more commonly known as a facelift. It’s equally popular with Nashville, Brentwood, and Franklin men and women. As technology advances, so do aesthetic surgery techniques. The concept of tightening loose skin for a youthful look remains the same, but more facelift surgery methods are now available.

At Youthful Reflections, we offer the Reflection Lift. Our unique approach was developed by Dr. Boggess after many years of performing traditional facelifts.

What Is a Reflection Lift?

The Reflection Lift is a conservative approach that is performed in an office-based setting using light sedation and local anesthesia (we talk more about this anesthesia approach in a related blog post). This approach eliminates the risks and cost of general anesthesia. It also allows for a quicker recovery than more invasive techniques. The Reflection Lift is not a “one procedure fits all” approach.  The lower facelift procedure is tailored to each of our Nashville patient’s unique anatomy, concerns, and goals in order to achieve optimal results. You can see how beautifully a Reflection Lift contours and rejuvenates the face in our patient’s before and after pictures below:


A conservative SMAS facelift for addressing mild to moderate sagging in the jowls and mild sagging in the neck.


This level is for moderate sagging in the jowls and mild to moderate sagging in the neck for patients with fat accumulation along the jawline and neck. The procedure involves a SMAS facelift in combination with liposculpting of the jawline and neck.


The level III lift is for moderate to severe sagging in the jowls and neck with associated laxity or banding of the platysma muscle in the front of the neck. The procedure involves a SMAS facelift in combination with tightening of the platysma muscle in the midline of the neck and liposculpting of the face and neck, as needed.

To see more of our patients’ revitalized looks after a Reflection Lift, browse through our photo gallery.

Comparing Facelift Techniques

There are a lot of different facelift technique offered and it can feel overwhelming choosing the right doctor with the right technique. Here are some common terms you’ll want to be familiar with.

  • SMAS (Superficial Musculoaponeurotic System) Lift This technique focuses on lifting the SMAS layer underneath the skin to restore a more youthful contour to the neck and jawline.  All properly performed facelift procedures involve tightening of the SMAS.  There are various techniques for managing the SMAS that distinguishes one type of facelift from another.  The Reflection Lift employs Dr. Boggess’ unique approach to SMAS lifting that he has developed from his experience performing thousands of facelift procedures.
  • Deep Plane Facelift – The technique involves extensive dissection underneath the SMAS to release the ligamentous attachements in the mid- and lower-face, allowing more mobilization of the jowl and cheek fat pads.  It is a more invasive procedure, associated with greater risk of facial nerve injury and prolonged recovery.  It potentially provides more improvement in the midface to address deep nasolabial folds.  However, there are no studies to suggest any improvement in outcome or longevity of results, compared to other SMAS facelift techniques.
  • Mid-face Lift – This technique targets the mid-face and is designed to elevate the cheek fat pad to a more youthful position, softening the depth of the nasolabial folds and tear troughs. The result is somewhat limited, because it only rejuvenates the mid-face and does not address the jawline or neck.  It is also associated with a prolonged recovery.  Many Facial Plastic Surgeons have abandoned this procedure in favor of rejuvenating the mid-face using volume restoration with fat transfer, fillers, or cheek implants.
  • Platysmaplasty – This technique involves tightening of the platysma muscle in the midline of the neck through a small incision under the chin.  It is typically employed in combination with a Facelift to provide additional improvement in the neck for patients with marked neck laxity or platysmal bands.

Choosing the Facelift Technique for You

Dr. Boggess has more than 20 years of experience in performing facial rejuvenation procedures. He is one of the most experienced facelift surgeons in Tennessee, having performed more than 4,000 facelift procedures, in addition to thousands of other facial rejuvenation procedures. He delivers exceptional, natural-looking results tailored to the patient’s anatomy, concerns, and goals.

The Reflection Lift is customized to your desired outcome and needs. It’s less risky and less expensive and is done in the Youthful Reflections office using light sedation and local anesthesia. You can be back to work within 1 to 2 weeks, and you can be ready to face any major event such as a birthday, wedding, reunion, or public speaking engagements in 3 to 4 weeks, with no obvious signs of surgery.

If you’re ready to rejuvenate your face with a Reflection Lift, we’re happy to talk with you about your options during a consultation. You can request a consultation using our online form or call us at (615) 942-8016.

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Worth Waiting For

We understand you want your facial plastic surgery right away, but this is an instance where patience pays off. Our surgeries are often booked out a few months because Dr. Boggess:

  • Is highly accomplished, and his services are in demand.

  • Takes his time to ensure outstanding safety, care, and results.

  • Offers personalized techniques that aren’t available elsewhere.

We are worth the wait.

Learn more about why the best facial plastic surgeons are worth the wait, and how you can make the most of that time in this blog post.

Learn More
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