What Is a Facelift?
A facelift, also called rhytidectomy, is a surgical procedure that addresses sagging in the midface, jawline, and neck. Rather than simply pulling the skin tight, Dr. Pazmiño tightens and repositions the SMAS (superficial muscular aponeurotic system), the layer of muscle and connective tissue beneath the skin, then sculpts or redistributes fat as needed and redrapes the skin over the new contours.
Incisions typically begin within the hairline at the temples, continue around the ear, and end in the lower scalp, where they are designed to be inconspicuous once healed. When the face has also lost volume, Dr. Pazmiño may combine the lift with fat grafting, using your own purified fat to restore fullness to areas such as the cheeks.
Dr. Pazmiño performs deep plane, SMAS, and mini facelifts, and he chooses among them only after getting to know you. Some of the most important work happens before surgery. He spends time understanding your goals and priorities and evaluates how much volume your face has lost and how much laxity your skin has, so that your plan fits your face rather than a formula.
He combines micro fat grafting and nanofat grafting with his facelifts, including mini facelifts when your needs and goals call for it. One of the most common signs of facial aging is the loss of youthful volume, sometimes described as losing your baby fat. Micro fat grafting restores that fullness with your own fat, while the facelift rebuilds the structural support that softens sagging. Nanofat improves skin quality for a refreshed, rejuvenated look.


