Facelift

Dr. Krau performs SMAS and deep-tissue facelift techniques to address jowling, mid-face descent, deep nasolabial folds, and neck laxity, with an emphasis on natural-looking rejuvenation that avoids the pulled or windswept appearance associated with tension-based skin-only lifts. The procedure repositions the underlying facial soft tissue architecture, allowing the skin to redraped with minimal tension for durable results. Neck lift is frequently combined to address platysmal banding and submental laxity in a single session.

A facelift in the hands of an experienced plastic surgeon like Dr. Ary Krau goes far beyond skin excision — it is a repositioning of the deeper facial soft tissue layers that have descended through the ligamentous and gravitational changes of ageing. Dr. Krau's facelift technique centres on the superficial musculoaponeurotic system (SMAS), the fibromuscular layer that connects the facial muscles to the overlying skin and subcutaneous fat. By directly addressing the SMAS rather than relying on skin tension alone, the procedure produces more durable lifting of the mid-face, jowls, and neck while avoiding the telltale tight or unnatural appearance that results from older skin-only techniques. During the planning consultation, Dr. Krau evaluates the degree of mid-face descent, jowl formation, nasolabial fold depth, jawline definition, and neck laxity — along with the patient's skin quality, bone structure, and the presence of prior surgical procedures — to determine the most appropriate technique and extent of surgery. For patients with significant neck concerns including platysmal banding, submental adiposity, and cervical skin laxity, a concurrent neck lift addresses the cervical component as part of the same operation, creating continuity from the lower face through the neck and jawline. In younger patients or those with more limited facial ageing, a limited-incision or 'mini' facelift provides meaningful improvement with a shorter scar and recovery. Fat transfer using the patient's own autologous fat harvested from the abdomen or flanks is available as an adjunct to restore mid-face and temporal volume that has been lost with ageing — a step that complements lifting by addressing the volume component of facial ageing rather than relying on lift alone. Incisions are planned carefully in pre- and post-auricular creases and the temporal hairline to maximise concealment. All facelift procedures at Dr. Krau's Miami practice are performed in his accredited in-office surgical suite with a board-certified anaesthesiologist, under general anaesthesia or deep sedation. Recovery involves approximately ten to fourteen days of social downtime, with most patients returning to professional and social commitments within two weeks.