Redefining the Facelift

There may be the misconception that a facelift is about tightening the skin to achieve a more youthful appearance. However, the truth behind achieving a natural-appearing facelift actually lies deep within the muscles. The secret to a smooth face is firm underlying facial structures. With over 20 years of experience, ABPS board-certified plastic surgeon Dr. Terino yields consistently beautiful results by focusing his technique to treat the supporting facial muscles rather than the surface structures like most traditional facelifts.  


An “In Style” Lift Is Always In Style

Men and women can show signs of aging as early as their mid- to late 30s. Early aging changes are

often expressed in the form of sagging skin around the lower half of the face including the jawline.

Dr. Terino’s personally designed “In Style” lift technique perfectly treats mild facial drooping of the

lower face. Good candidates for the “In Style” lift generally have good skin elasticity.


An “In Style” lift utilizes incisions placed behind the ears as well as discreetly and closely along the

front border of the ear. Through these incisions, Dr. Terino separates the skin from the underlying

facial muscles. He pulls the muscles tight and stitches them into place. He then drapes the skin so

it contours to the new muscle placement. Dr. Terino takes great care to then trim away excess skin,

making sure not to remove too much or too little tissue. Leaving too much tissue can result in future

sagging, and leaving too little can add harmful tension to the skin’s surface and produce unattractive



This “In Style” lift allows Dr. Terino to tighten the tissues of the jawline and the side of the face. This technique takes around three hours, and Dr. Terino’s artful stitching leaves only inconspicuous scarring.


That’s “SOMME” Lift

Dr. Terino’s own-developed “SOMME” lift is designed to treat patients with more extensive upper facial sagging rather than sagging in the neck and jowls. An acronym for Suborbital Mimetic Muscle Elevation, the “SOMME” lift treats aging that is caused by the loss of fat around the eyes and cheekbones. Fat loss in these areas can create the appearance of bulging eye bags, under-eye hollowness, and constant fatigue.


The “SOMME” lift uses incisions placed along the lower lash line or within the lower eyelid to relocate fat and smooth out the area. Relocating fat rather than removing it helps stabilize the lower eyes so they don’t develop drooping. Dr. Terino also gently pulls and tightens the cheek muscles which, in turn, also softens smile creases. Tightening the muscles of the brows and temples helps prevent or correct a drooping brow.


The Neck Holds Everything Up

Many people don’t realize that the neck plays a key role in overall facial appearance. Sagging jowls can age the face to a greater extent than any other facial sagging. By stitching the neck muscles together tightly, in both neck and jowls front and back, and removing excess skin, you can eliminate a sagging neck. This dramatically changes the face and creates a more youthful appearance.


Put It All Together and What Do You get?

Dr. Terino’s techniques can be performed individually to meet each patient’s desired results. For patients with overall facial sagging, combining multiple procedures can help achieve the best results possible. While the “SOMME” lift treats the upper two-thirds of the face, the “In Style” lift corrects sagging in the lower face. As you creep past 50 years old, you may notice mild to significant sagging in both your upper and lower face. If this is the case, then combining Dr. Terino’s techniques can help you achieve a natural, youthful appearance.


If age and gravity have begun to rob you of your beauty and good looks, schedule a consultation with Dr. Terino today. As an ABPS board-certified plastic surgeon, Dr. Terino is a symbol of dedication, refinement, and skill. His goal is to help every patient achieve beautifully natural results. Contact our office by calling 818-991-6226, or fill out our online contact form here for more information. © 2013.  All rights reserved.