What Are the Differences Between a Facelift, Brow Lift, and Cheek Lift?


Facelift, brow lift, and cheek lift surgery are some of the most popular procedures available at our practice. In the hands of a seasoned plastic surgeon like Dr. Mark Richards, each of these surgeries can transform the facial aesthetic in its own way.

With this in mind, Dr. Richards always advises patients considering facial procedures to understand the plethora of options available to them. Below, he has outlined the common benefits and distinctions between these three sought-after procedures.

Facelift Surgery

Many people mistakenly believe that facelift surgery addresses signs of aging throughout the entire face. In reality,  however, a facelift mainly targets the lower third of the face and the neck. By tightening underlying tissues (muscles and fascia) and removing excess skin in these areas, the procedure can restore youthful contours, soften lines around the mouth, reduce jowls, and sculpt a smoother, more defined jaw and neckline.

To achieve an optimal outcome, Dr. Mark Richards focuses on the deeper layers of facial muscle and connective tissue rather than simply pulling the skin. This strategy, often referred to as a “deep plane facelift,” can avoid the tight or “overdone” appearance often associated with less refined methods. In many cases, neck lift techniques under the muscle are incorporated into the facelift procedure to improve visible muscle bands in the neck, and further enhance the overall rejuvenation.

Cheek Lift Surgery

Patients who are experiencing volume loss or a downward shift in the midface should be aware that having a facelift alone may lead to a more “pulled” or “hollow” effect if the cheek curvature is not addressed. For these patients, a cheek lift can be a more ideal option. Cheek lift surgery can reposition the sagging volume and contour of the cheeks, which can be very effective for individuals who have experienced a flatness of their midface and excessive jowling and folds by their mouth. The procedure can create a fuller, more youthful midface and can soften prominent smile lines and hollows beneath the eyes. Additionally, by lifting the cheeks back to their youthful position, a cheek lift can significantly brighten the facial expression and reduce the look of fatigue or sadness caused by downturned mouth corners. Because the midface is such a central aesthetic zone, even subtle improvements here can have a profound visual impact.

Brow Lift Surgery

Finally, a brow lift (or “forehead lift”) is typically best suited for patients who want to address certain conditions that commonly affect the upper area of the face. Over time, the aging process can cause the brow to descend and contribute to the development of frown lines, furrows between the eyebrows, and deep forehead creases. These changes can produce a tired, stressed, or even angry appearance. Fortunately, brow lift surgery can address these concerns and offer exquisite, long-lasting rejuvenation – especially when performed by our world-renowned plastic surgeon.

Dr. Richards uses advanced techniques, such as the groundbreaking endoscopic method, to elevate the brow without creating a “surprised” or unnatural look. By lifting the brows, smoothing horizontal lines across the forehead, and minimizing the “drooping” effect that can accompany age, a brow lift can truly “open up” the upper face.

Complementary Facial Procedures

While each of these facial surgeries targets a specific region, they are often most effective when performed in combination. A facelift focuses on tightening and smoothing the lower face and neck; a cheek lift can enhance the midface by restoring youthful volume and natural cheek curvature; and a brow lift can rejuvenate the upper third of the face by lifting the brow and smoothing forehead lines. Together, these procedures can deliver comprehensive facial rejuvenation that looks balanced and harmonious.

Although each surgery serves a distinct purpose, they are highly complementary. For example, patients who undergo a facelift without addressing midface descent may be left with a “flatter” appearance if youthful cheek contours are not restored. Similarly, treating the lower face without lifting a heavy brow or sagging forehead can leave the upper face looking tired or aged by comparison. When performed together, these procedures can enhance one another’s results and produce a more refreshed, natural-looking appearance overall.

In addition to surgical options, many patients benefit from pairing their procedures with non-surgical treatments – such as laser skin resurfacing, injectable dermal fillers, or BOTOX® Cosmetic. These options can refine results, address fine lines and volume loss, and prolong the rejuvenating effects of surgery.
Dr. Richards offers personalized treatment plans that may include a combination of surgical and non-surgical approaches to help each patient achieve their unique aesthetic goals with precision and artistry. During your initial consultation, he will thoroughly evaluate your concerns, discuss your expectations, and recommend the most appropriate procedures for your needs.

If you have any questions or would like to schedule a consultation, please don’t hesitate to contact us today!

Editor’s note: This blog was originally posted on November 15th, 2019.

Ready To Get Started?

Call 301.468.3458

Email Us