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<\/p>\n<\/p>\n
It is precisely for this reason that Dr Richter does not view traditional and modern SMAS techniques as opposites, but rather as essential components of comprehensive and responsible facial surgery.<\/p>\n
The so-called SMAS \u2013 the \u2018Superficial Musculoaponeurotic System\u2019 \u2013 is the main connective tissue and muscular support structure of the face.
\nThis anatomical structure connects:<\/p>\n
As we get older, the SMAS loses its tone and stability.<\/p>\n
This results in:<\/p>\n
Modern facelift surgery therefore does not focus solely on the skin, but primarily on this underlying layer.<\/p>\n
On social media today, one often gets the impression that deeper deep-plane or sub-SMAS techniques are fundamentally superior.
\nDr Richter\u2019s experience is considerably more nuanced.
\nA well-planned and precisely performed SMAS procedure can, in suitable anatomical cases, achieve results that are every bit as good as modern deep-plane techniques in terms of both function and aesthetics.
\nCurrently at:<\/p>\n
Traditional SMAS techniques often yield very natural, stable and long-lasting results.
\nFor Dr Richter, the true quality of modern facial surgery therefore lies not in the most aggressive dissection, but in choosing the right plane.<\/p>\n
Not every patient automatically benefits from maximum ligamentous release or particularly deep dissections.
\nOlder people, in particular, often already have significantly weakened supporting structures.
\nIn such situations, more aggressive preparation may:<\/p>\n
This is where, in Dr Richter\u2019s view, tried-and-tested SMAS techniques often demonstrate their particular strengths.
\nThey can be gentler on the tissue whilst delivering very harmonious and natural results.
\nFor him, experience therefore also means knowing:
\nWhen less dissection is the better choice.<\/p>\n
Over the past few decades, numerous SMAS techniques have been developed.
\nThese include, amongst others:<\/p>\n
These methods differ:<\/p>\n
None of these techniques is inherently \u2018the best\u2019.
\nThe key factor is always:
\nWhat is the patient\u2019s anatomy, and which form of ageing is predominant?<\/p>\n
In SMAS plication, the SMAS is folded and stabilised without the need for extensive deep dissection.
\nThis procedure can produce very elegant and natural results, particularly in younger patients or in cases of moderate tissue laxity.
\nDr Richter particularly values the technique for its controlled and tissue-sparing properties.
\nUsed correctly, it can:<\/p>\n
In SMAS excision, a specific portion of the SMAS is removed and the remaining structure is repositioned.
\nThis makes it possible to:<\/p>\n
Here too, Dr Richter\u2019s view is that:
\nIt is not maximum resection that produces the best results, but the right balance between tightening, volume and natural tissue distribution.<\/p>\n
In the SMAS flap procedure, the SMAS is mobilised and repositioned as a separate layer.
\nThis allows:<\/p>\n
Many modern deep-plane and high-SMAS techniques are ultimately based on further developments of precisely these classic principles.
\nThis is precisely why Dr Richter does not view classic SMAS techniques as being at odds with modern procedures, but rather as their anatomical foundation.<\/p>\n
A key component of modern facial surgery is what are known as the retaining ligaments \u2013 the ligaments that support the face.
\nYou play a key role in:<\/p>\n
As we age, these structures lose their elasticity.
\nAt the same time, however, it is important to note that:
\nNot every patient requires the same aggressive ligamentous treatment.
\nIt is precisely here that Dr Richter sees the importance of experience.
\nTo recognise:<\/p>\n
In Dr Richter\u2019s view, a good facelift never targets just one specific area.
\nThat is why he always analyses:<\/p>\n
It is often the combination of small, complementary measures that creates a natural look:<\/p>\n
It is not extreme change that creates harmony, but the right balance between structure, volume and expression.<\/p>\n
A facelift alone cannot replace good skin quality.
\nThat is why Dr Richter is increasingly combining modern facial surgery with regenerative approaches such as:<\/p>\n
These procedures can:<\/p>\n
It is precisely in this area that Dr Wiedner complements the joint approach by placing particular emphasis on:<\/p>\n
Dr Richter does not believe in one-size-fits-all facelift solutions.
\nFor him, experience does not mean using the most aggressive techniques possible or following the latest trends.
\nExperience means:<\/p>\n
For him, the most demanding aspect of modern facial surgery is not the most spectacular technique, but the ability to use the right technique to achieve a natural, harmonious and long-lasting result.<\/p>\n
Dr Richter does not view modern facelift surgery as a competition between individual surgical techniques.
\nHis aim is never to bring about the greatest possible change.
\nHis aim is:<\/p>\n
A successful result should not look artificial.
\nIt should look as though the face has regained its serenity, clarity and natural firmness.
\nIt is precisely in this that Dr Richter sees the true art of modern facial surgery.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
In his view, modern facial surgery does not mean automatically applying the deepest possible dissection or the currently most popular technique to every patient. Rather, it means: Understanding anatomy Assessing fabric quality correctly to analyse natural ageing processes and use this to determine the most appropriate strategy for each individual. It is precisely for this […]<\/p>\n","protected":false},"featured_media":8201,"menu_order":0,"template":"","categories":[56,35],"tags":[],"class_list":["post-8369","service","type-service","status-publish","has-post-thumbnail","hentry","category-face","category-surgery-en"],"acf":[],"yoast_head":"\n