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Facelift History: From

The evolution of facelift: from 1901 to present. SMAS, Deep Plane, and how we arrived at Modern Face. The history that shaped rejuvenation techniques.

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Dr. Roberio Brandao

Creator of Modern Face

• Updated December 17, 2024

Why History Matters

Understanding facelift evolution isn’t academic exercise — it’s fundamental to understand why we do what we do today. Each current technique, from [Endomidface to advanced Deep Neck procedures, is a response to limitations of previous ones. Knowing history allows more informed choices.

“Those who don’t know technique history are doomed to repeat past errors. Facelift evolved for a reason — each change came from a lesson learned.”

  • — Dr. Robério Brandão

Facelift Timeline

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Modern Face Philosophy

How we combined historical lessons into a new surgical era.

Deep Plane Guide

A deep dive into one of the most significant evolutions in surgery.

The future of facial rejuvenation beyond current techniques.

For surgeons: Learn the latest in facial rejuvenation with our [training programs.

Learn the Most Current Techniques

Mentorship programs teach Modern Face era techniques, adapted for current reality.

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Frequently Asked Questions

When did the first facelift emerge?

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First reports date from early 20th century (1901-1910), with European surgeons like Hollander and Lexer. They were simple skin removal procedures, very different from current techniques.

What was SMAS and why was it revolutionary?

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SMAS (Superficial Musculoaponeurotic System) was described in 1974. The perception that there was a structural layer below the skin that could be manipulated transformed facelift from cutaneous to structural procedure with much more durable results.

What differentiates Deep Plane from previous techniques?

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Deep Plane (Hamra, 1990) dissects below SMAS in a single plane, releasing retaining ligaments. This allows broad tissue mobilization without skin tension. More natural and lasting results than traditional SMAS plication.

Why did old techniques give 'pulled' results?

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'Skin-only' techniques removed only skin, creating excessive lateral tension. Without structural manipulation, skin was stretched over ptotic tissues. The result was artificial appearance and short durability.

What is Modern Face and how does it relate to this history?

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Modern Face (2020s) recognizes that facial anatomy changed with biostimulator popularization. Traditional techniques were developed for biofiller-free faces. Modern Face adapts surgery to current reality.

What's the future of facelift?

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Trends include increasingly less invasive techniques, greater use of local anesthesia, personalization based on individual anatomy, and integration with non-surgical treatments. The pursuit of naturalness and quick recovery continues.

Learn Modern Face Techniques

Mentorship programs with the technique creator.

View Mentorship Programs Contact Team

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