Why the Three-Level Facelift Is the Next Big Thing

Facial rejuvenation has taken a leap forward with the introduction of the three-level facelift, a framework that provides a customized approach to achieving youthful, natural results. Eugene, OR plastic surgeon Kiya Movassaghi, MD, president of The Aesthetic Society, is championing this  innovative method, which simplifies the process for patients while enhancing outcomes.

“Three-level facelift is not a specific technique of facelift,” explains Dr. Movassaghi. “Rather, it’s a simple paradigm that facilitates communication about the specific part of the face that is being addressed surgically.” First introduced in The Aesthetic Plastic Surgery Journal, this concept has reshaped the conversation between surgeons and their patients, fostering clearer expectations and more targeted treatments.

What Are the Three Levels?

Dr. Movassaghi defines the three levels as follows: “The Level 1 lift indicates that the expected improvement will be from the jawline down the neck without any improvement in the higher parts of the face. The Level 2 lift indicates that the improvement will be from the lower face down the neck. Lastly, the Level 3 lift indicates that the improvement will be from the lower eyelid down to the neck. The higher the level, the more involved the surgery and hence a longer recovery.” This step-by-step framework allows for tailored treatment plans that align with the patient’s individual needs and desired results.

Blending Science and Art

“Precision starts with a good understanding of the aging process and the patients’ unique anatomy,” says Dr. Movassaghi. “But let’s not forget—there’s an art to this. While technical skill is crucial, it’s the artistic touch that creates beautiful, natural results.” By carefully navigating the planes of the face, he ensures seamless and balanced outcomes.

Patient-Centered Planning

For Dr. Movassaghi, collaboration with patients is key. “It starts with listening to my patients and asking them what features of the face they want to improve,” he shares. “Next, I hand them a mirror and have them demonstrate how they would improve the areas of concern. Very commonly, the patient demonstrates the level of lift they want, regardless of whether they can articulate it.” He guides patients toward realistic outcomes while ensuring satisfaction with the final results.

Long-Lasting Results

“I tell my patients that the results last ‘forever’ with the notion that if they had an identical sibling who did not have the surgery, they will always appear younger,” says Dr. Movassaghi. “At the same time, I remind them that aging is an ongoing process and the durability of the result depends on their genetics, lifestyle, ongoing care for their skin and of course, the surgeon’s expertise and the specific technique used.”

Recovery Tailored to Each Patient

Recovery time varies depending on the level of the facelift and the patient’s health. “Patients can always expect swelling and bruising with a peak on day three,” advises Dr. Movassaghi. “Because the face is the interface with the outside world, the patient must be aware of the social downtime, the time that they don’t feel comfortable engaging socially.” He emphasizes the importance of close follow-ups with the surgical team to ensure smooth healing.

Why Younger Patients Are Opting In

Facelifts aren’t just for those over 50 anymore. “Age is a number and individuals age differently depending on their genetics, lifestyle, care of their skin and overall health,” says Dr. Movassaghi. “I have patients as young as their late 30s to 80s, with most patients in their 50s and 60s.” He adds that many younger patients are turning to “prejuvenation” to maintain their youthful look and delay the need for more invasive procedures later.

The three-level facelift is redefining the field of facial rejuvenation. Its customized framework allows for natural, long-lasting results, offering patients a sophisticated and individualized approach to maintaining a youthful appearance.