Subperiosteal lifts are a kind of rhytidoplasty, or face lift, that is often done endoscopically.  A subperiosteal lift is more invasive than another common type of rhytidoplasty called a SMAS lift because it goes deeper in order to reposition fat and muscle all together.  This type of procedure is usually done on relatively young patients, often between the ages of thirty and forty.  A subperiosteal lift is a good option for people who are considering facial implants because during this type of lift, the overlying facial tissues are separated from the bone and implants can easily be inserted by a trained cosmetic surgeon.

Subperiosteal Lift Procedure

During a subperiosteal lift, the surgeon usually uses an endoscope, or small camera, to visualize the area he is treating through tiny incisions that he places in the skin.  Smaller incisions are made in the hairline and the endoscope is inserted so the surgeon can disconnect the overlying tissue from the bone.  The incisions that are made by the surgeon are usually covered by the patient’s hair.  If a patient’s condition requires skin removal, larger more traditional incisions that extend more closely to the mandibular line are made.  Once the skin, subcutaneous tissues and underlying tissues have been lifted from the underlying bony structures, the areas are lifted creating a smoother appearance to the face and an especially smooth mandibular line.  The tissues of the face are then anchored to underlying structures like the temporal aponeurosis to maintain the lift.  The surgeon will first dissect the area of the tempora aponeurosis and this allows for a strong fixation and a long lasting lift. 

Risks of Subperiosteal Lift Surgery

Risks of subperiosteal lifts are similar to other types of facelifts and procedures that require general anesthesia. 

• Swelling
• Infection
• Facial numbness or nerve palsy
• Delayed wound healing
• Medication reactions
• Facial asymmetry

Recovery from Subperiosteal Surgery

Recovery after a subperiosteal lift may take longer than other kinds of lifts due to the depth of the incisions that are necessary.  Swelling and pain may also be worse than other types of procedures.  Each surgeon will have specific recommendations for recovery for patient’s to follow.  Restrictions might include no heavy lifting and no bending at the waist. 

Subperiosteal Facelift Cost

Depending on the type of incision that is made and if facial implants are used, the cost of this type of procedure might be between six and ten thousand dollars. 

Consult with a Professional

Many experienced surgeons are available to discuss with you your options for cosmetic surgery.  Talking to a cosmetic surgeon will help you decide if a subperiosteal lift is right for you.