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Cheeks and neck lift


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High cheekbones and prominent cheekbones are features of an attractive face. At the age the skin loses more and more moisture and elasticity, so they wander structures by the sinking skin seemingly down. An extensive tissue and skin tightening is performed under general anesthesia and can last up to several hours. The skin is tightened, excess skin removed and sucked on request fat cells at the neck. Through the combined lifting of the two regions a rejuvenating effect usually arises depending on the age of 8-12 years. Depending on one's own ideas and alternative, less invasive methods can be used.

Skin tightening of tissues and toning (SMAS)

Prolonged facelifts require larger incisions and adjacent to the tightening of the skin also a structuring of the layer of tissue between the skin and muscle. For the incisions, there are various techniques. SMAS stands for Superficial Muscular fascia system and referred to the layer of tissue between the skin and muscle. The streamlining of the SMAS layer provides sustained for years lifting. The tissue at the muscle layer is not as quickly wrinkled as a simple skin tightening.

The skin is loosely applied to the tightening of the SMAS layer with low skin tension, again. Redundant skin is removed. The skin sutures are placed as inconspicuously as possible. In hairline is clamped to avoid unnecessarily injuring many hair roots.


Usually a small incision in the skin and only a small correction of the tissue under the skin. The large proportion of the facial skin is not detached from the fabric and simple streamlined. It is usually a combination of the mini facelift with little use of the SMAS technique.

Facelifting SMAS S-LIFT

The S-Lift is started with an arc that begins in the hairline in front of the ear, then continues to run in front of the ear, is pulled under the ear with a bow and ends behind the ear. Skin and tissues are tightened extensive.

Facelifting SMAS Soft-LIFT

Marketing term to refer to individual SMAS face lift without standard.

taut cheeks

Large folds of skin on the face and excess skin and tissue that sags down, leading to jowls and others can best be streamlined operational. Here, the tissue should always be streamlined under the skin and modeled. From a simple tightening of the skin is not recommended, unless you at a very early stage, the skin must have been just a little tightening.

streamline double chin

A double chin is normally in a separate OP often combined with liposuction or neck lift performed in the area and has not directly to do with the offers of a facelift.

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After lifting by SMAS

With the SMAS technique can be dispensed with oppressive associations that are necessary in other procedures for several days. Here a light dressing that is applied only hours after the operation to protect enough.

On the first day after surgery and to check wounds should be refrigerated to keep swelling in check. Get up and slight movement is already possible.

On the second day, the patient can leave the hospital, before the hair can be washed with lukewarm water with the help of the nursing staff.

In order to promote swelling and better healing should be used from the fourth day lymphatic drainage and professional cosmetics.

A week after the operation, conservation is announced, but short walks are beneficial to a recovery from.

you have to sleep on your back with lifted head and a pillow under the head mountain. Cutting grimaces and chewing very solid foods should be avoided to ensure that the loosened skin can grow well.

Resulting from the operation hematomas are relatively small and are also included.

The scars are maintained after the removal of the dressing with clean cotton swabs and Bepanthen or panthenol, later scar ointment can also be used.

In the second week after surgery, the last threads skin usually be removed. The work can be resumed in most cases after 2-4 weeks.

To prevent discoloration of scars, sun and heat (eg. By sauna) to avoid the area of ​​scars for at least 3 months in order to prevent discoloration of the skin.

People with glasses can cause irritation of the scar behind the ear. Then it's recommended for two to three weeks, no glasses to wear.

Not physically strenuous sports such as golf have to be suspended for four weeks for sports such as tennis, football or squash should be avoided because of the high risk for two to three months.


A completely different method are threads of gold, which are stuck to the cheeks into the lower skin tissue. Guide needles are inserted under local anesthesia in the uppermost layer of the fatty tissue and then drawn in the gold threads. Then patches are glued to the treated area, which can be removed after 3-5 days. The redness subside relatively quickly and the small puncture wounds are sorted by wound healing in about a week out of sight.

Price - cost in euro: 

3500 - 6000



general anesthesia


3 h to 5 h

Inpatient stay2 or 3 days


Depending on the complexity, but mostly good.

ability to work

After 2 - 4 Weeks


  • Violation of the facial nerve
  • Sensory disorders of the skin
  • infections
  • Mask-like appearance
  • Circulatory disorders
  • swelling
  • bruising


8 to 12 years. After that, the procedure can be repeated

health insurance

Whether the insurance pays the costs or partial costs depends on the diagnosis and psychological stress for the patient. In general, the procedure is not covered by health insurance.


After the operation:

  • much protection
  • little facial movements
  • 2 months not a sport
  • no side sleeping for about 4-6 weeks, preferably lie on your back with a higher headboard
  • also possible- -if for 1-2 months not wearing glasses (on time if at all nötig- contact lenses arrangements)
  • no shampoo "over" the head
  • no bathing or hot showers for at least 2 weeks
  • Apply any cleansing cream or masks for about 4-5 weeks
  • no sunlight for at least 3 months

Facial nerve damage

An injury to the facial nerve is probably a risk that m most feared, because even the most experienced surgeon can not guarantee an injury-free operation. If the injury is very very low, the nerves recover usually after 3 months. For larger injuries, the surgeon have to help.

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Friday, October 6, 2017 - 16:15


in der Theorie gibt es durchaus die Möglichkeit vieles mit Hyaluron unterspritzen zu lassen. Das könnte man auch seitlich der Halsvehnen durchführen lassen. Ich bin mir aber ziemlich sicher, dass das kein seriöser Chirurg in Deutschland empfehlen wird. Zumindest habe ich so ein Angebot noch nie gesehen.
Die Falten am Hals kannst Du vermutlich mit einem kleinen Lifting und etwas Fettabsaugung erledigen lassen. So hab ich das bei mir auch mit 39 vor 3 Jahren machen lassen und es sieht immer noch sehr viel besser als vor der OP aus.

LG Mona

Comment count: 7
Tuesday, July 22, 2014 - 13:28

Da gibt es schon einige. Du kannst z.B. nach Ärzten mit folgender Qualifikation suchen:
Facharzt für HNO und plastische Operationen
Dann vielleicht noch in Kombination mit Stimmband OP

Comment count: 2
Sunday, April 9, 2017 - 21:14

Meine Halsstraffung wurde mit einem Schnitt unter dem Kinn durchgeführt. Der Arzt meinte, dass bei mir vor allem auch der Halsmuskel stark gestrafft werden musste. Ich hatte fast kein sichtbares Kinn mehr und das kombiniert mit den Falten war echt unerträglich.
Nach all dem was ich das Jahr nach der OP gelesen habe, hätte ich mich heute anders entschieden und den Schnitt nicht unter dem Kinn, sondern hinter dem Ohr durchführen lassen.
Die OP ist zwar insgesamt gut verlaufen, aber mich nevt immer noch die Narbe unter dem Kinn. Die ist zwar nicht riesig, aber klar erkennbar. Hinter dem Ohr wäre das sehr viel unauffälliger gewesen.

Comment count: 3
Thursday, August 17, 2017 - 14:16


man kann beide Falten mit einer OP korrigieren. Das ist auch sinnvoll, denn die Heilung wird einige Wochen dauern und Du willst ja sicher nicht mehrere Heilungsphasen. Die Halsstraffung, die dabei durchgeführt wird ist auch jeden Fall aufwendig, wenn Du mehrere Falten am Hals und unterm Kinn hast. Ungewöhlich finde ich dann aber schon, dass die Adern so stark zu sehen sind. Das solltest Du in dem Fall zusätzlich von einem anderen Arzt untersuchen lassen. Dahinter könnten sich ernste Probleme mit den Halsvenen verbergen.

Ich habe mich vor meiner OP viele Monate intensiv über alle Möglichkeiten informiert, aber ich kenne ich kein Verfahren, wie man Halsvenen weniger sichtbar werden lassen kann. Zumindest gibt es bisher keinen Arzt der in dem Bereich unterspritzt oder anderes ...

GLG Davina

Comment count: 7
Friday, September 4, 2015 - 17:48


alles nicht so schlimm! Ich hatte meine OP als SMAS Lifting für das Gesicht mit Hals. Wenn Du ein gutes Ergebnis haben willst ist der Eingriff halt nun mal schon ewas größer und die Heilung dauert dann halt viele Wochen, aber dafür ist das Ergebnis top und hält erstmal ein paar Jahre.

Der Arzt hat mir nachher das Video zur OP gegeben und ich bin echt platt. Der hat mir Teile unter der Haut im Gesicht weggeschnitten und vernäht. Danach war so viel Haut übrig, dass es den Überschuß nur noch wegschneiden musste und die dann auch vernäht hat. Der Schnitt war allerdings schon groß ... Um das Ohr rum und am Haaransatz entlang.

Lieber etwas länger mit blauen Flecken und Schwellungen kämpfen, aber dafür ists nachher schön :)
Grüße Varhi

Comment count: 3