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Ponytail Facelift

As a Facelift expert, Specialist Plastic Surgeon, Dr Jack Zoumaras, offers the best possible Face and Neck Lift’s for you. In the younger patient, or for those that want a minimally invasive incision with less downtime, Dr Jack Zoumaras offers new cutting edge lifting procedures ‘like’ the PonyTail Facelift that has been founded by Dr Kao in the USA.


Many patients come to a Plastic Surgeon’s office asking to lift their face and tighten the skin like when they place the hair up in a Pony Tail. Other patients ask for shorter lifting procedures that conceal all the incisions in the hairline. This is how the Pony Tail lift was born, while a compromise to a Full Face and Neck Lift, in the right patient it can tighten skin, rejuvenate the upper face and even tighten your neck line.

Anatomy of the PonyTail Lift

To understand how best to lift the face with a Ponytail Facelift one must have a deep and thorough understanding of Facial Anatomy, and the anatomy of facial ageing. This ensures that your facelift result will not be “plastic”, but rejuvenating, natural, and amazing.

Facelift expert, Dr Jack Zoumaras, is a peer reviewed Plastic Surgeon, and knows how to respect your anatomy to transform your face.

The Face consists of 5 concentric layers that differ in consistency in
different parts of the face.

  • Layer 1 is Skin which is thickest around the cheek and nose, and thinnest on the eyelids and temple.
  • Layer 2 is Fat which is prominent around the cheeks and negligible in the eyelids (the fatty “bags” that we see under the eyelids comes from a deeper layer (deeper even than Layer 5).
  • Layer 3 is the Superficial Musculoaponeurotic System (SMAS), a muscle layer that allows us to be humans, it is responsible for allowing us to talk, smile, whistle, sing, open and close our eyes, and for all facial animations.
  • Layer 4 is a space that contains Ligaments, Facial nerves and Vessels. The ligament holds the upper three layers and rests on Layer 5. The ligament is at its thickest in Layer 4 and branches into the dermis of the skin, akin to fine branches of a tree.
  • Layer 5 is bone where the ligament holding up the facial anatomy resides on (Cheek and Jaw bones). In the cheek and neck there is no bone and it is deep fascia that is representative of layer 5.
As we age, all 5 layers age (and this could be at varying stages), starting with skin laxity, descent of facial fat and loosening of muscle. The ligament that holds the upper layers weakens, and you begin to get changes that show up, such as; loose skin, droopy brows and eyelids, nasolabial folds and a loose neckline.
A Ponytail Facelift can lift Layer 3 and 4, but because it does not aim to separate the skin (Layer 1) from the muscle (Layer 3), only a limited amount of skin can be removed. It is therefore suitable if you do not have a lot of excess skin.
A Ponytail Facelift can improve skin tone, lift the brow and upper face and tighten the neck line, giving you a rejuvenated and glamorous look.
Facelift anatomy and skin layers

Ponytail Facelift Options

A Pony Tail Lift is our cutting edge mini lift for the younger patient who wants to lift the upper part of the face (Brow, Upper Eyelid and Cheek). This procedure involves a carefully placed incision in the hairline so that it’s not noticeable. The access allows Dr Jack Zoumaras to reach the deep structures of the upper face, muscle and ligaments(Layer 3 and 4), and reposition them higher to rejuvenate and highlight the cheek bone and brow.

The procedure can be done as day surgery and you can return to work after 10 days.
A PonyTail Facelift combines the PonyTail Lift with lifting the Neck area through hidden incisions behind the ear and adding structural fat grafting to correct more aspects of facial ageing. This is a combination procedure for those that want to lift their upper face (cheek) and brow and want to tighten the neckline but do not want to go through a full Face and Neck Lift. The addition of structural fat grafting enables areas like the naso labial fold and jowls to be lifted and smoothed.
The procedure will be illustrated in detail and you will be given a detailed instruction sheet on expected post-operative course and potential complications during your consultation with Dr Jack Zoumaras. It is recommended that you are a stable weight for at least 3-6 months to obtain the best possible results. It is advised to stop smoking at least 6 weeks before and after surgery.

More facelift procedures

Deep plane facelift

A Deep Plane Facelift is exclusively offered by Dr Jack Zoumaras in Sydney. This exciting new age advanced surgical technique will lift the muscle and skin layers in one flap that results in a quicker recovery. It is a great procedure when a neck lift is not required. It is perfect for younger patients who want to lift and tighten their jowls and face, to starve off the first signs of ageing.

A deep plane facelift will release the important facial ligaments, lift the muscle and reposition the naso labial folds, jowls, cheek to a youthful rejuvenating position.

It will make you look fresh and look amazing. Our deep plane facelift patients, come into Artiste looking and feeling great with a zest for life and full of energy and confidence.

Dr Jack Zoumaras, Key Note Speaker

Video: What is deep plane facelift

Learn about the types of facelift procedures Dr Jack Zoumaras offers and why patients commonly consider a facelift.

Deep Plane Facelift Before & After

Before After
Before After
Few surgeons offer this technique and Dr. Jack Zoumaras has trained with leaders in Deep plane facelift surgery in New York. He has even shared the international stage with renowned facelift surgeon from New York Dr. Jacono discussing facelifts. A deep plane facelift will lift the mid face, lower eyelid, nasolabial fold and jowls. This helps smooth lower eyelid hollowing, deep facial lines and jowls. It will tighten the face and refresh your look.
A Deep Plane Facelift differs from a High SMAS in that is lifts the muscle and skin layers together. It is similar to a High SMAS in that it releases the facial ligaments and is deep to muscle. The similarities/differences can be viewed in the clinical photo below.

A Deep Plane facelift is suitable for those:

A clinical photo of a Deep Plane Facelift procedure

Why deep plane facelift?

The common signs of ageing and looking tired include lower eyelid hollowing, deep nasolabial folds, jowls, marionette lines and ptosis of the facial layers in general. The causes of these deformites are due to ligamentous and muscle changes rather than skin. A deep plane facelift addresses the muscle and ligament changes directly. A skin only or superficial muscle facelift, by contrast does not address the deep changes. A deep plane facelift is therefore a superior facelift technqiue.
Facelift surgeons always lift the deep layers of the face including releasing the facial ligaments . This ensures you get a powerful lift that is long lasting and confidence building. You will look refreshed, less tired and younger.
Ageing occurs around the ligaments and muscle of the face and by lifting deep to the muscle (layer 3 and 4) we are reversing what the ageing deformity has caused. By elevating the skin and muscle together in one composite flap (layers 1-4) this ensures minimal bruising and a faster recovery.
A Finger Assisted Malar Elevation (FAME) technique from from renowned Manhattan plastic surgeon Dr. Sherrel Aston Is able to be performed, which powerfully releases the orbital malar ligament and enables lifting of the lower eyelid area as part of the Deep Plane Facelift.
Deep Plane Facelift procedure chart

Why Dr Zoumaras technique is best

Dr Jack Zoumaras is 2017 and 2019 Vogue Face Expert and his practice is only Face. He has been trained by world leaders from San Francisco, New York and Paris. Training with the best to become one of the best. He is current chairman of the Australian Society of Plastic Surgeons NSW Chapter and a specialist Plastic surgeon. He is one of few plastic surgeons to offer a High SMAS Facelift and Deep Plane Facelift.

Plastic Surgeon and Face Expert Dr Jack Zoumaras with staff

The inspiration for Dr. Jack Zoumaras is to be the best facelift surgeon he can be. This means constant self reflection and critique and higher learning. This ensures that every aspect of the technique from the injection of the local anaesthetic, background classical music, positioning of the patient, careful planning of the incision ensures a superior outcome with all the bells and whistles. A Facelift is not meant to be a fast operation, it is an operation that takes time (minimum 3-4 hours and up to 6-7 hours) when executed with real finesse and attention to detail.

The use of structural fat grafting with 24K is our secret weapon in Facelifts. Fat grafting will not only augment facial volume it provides a stem cell matrix to the skin. This illuminates the skin and has your skin looking firmer with fewer blemishes. It ensures your facelift is not just anti-ageing but glamorising.

Meticulous placement of the incision behind the tragus of the ear, along the hairline in the temple, behind the ear and along the posterior hair line ensures an inconspicuous scar.

 

Further attention by placing the incision along the hair follicles at a bevelled 45 degree angle ensures hair will grow around camouflaging the incision.

 

You don’t need to worry about facelift scarring with Dr Zoumaras because you won’t see it and nor will anyone else.

By lifting the SMAS with a Deep Plane Face Lift the tension is placed deep. The excess skin is simply removed with no tension and the direction of muscle pull is vertical and not horizontal. This eliminates any wind blown affect or “pull” affect.

A lip lift will augment the upper lip, shorten the distance from the lip to nose and of course lift the lip. It involves removing skin from just beneath the nose with the incision concealed at the base of the nose. Adding a lip lift to the facelift doesn’t just lift the lip and make the upper lip look fuller it glamorises the mid face, by balancing the mid face. This will glamorise your facelift.

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A chemical peel is included with your facelift for skin blemishes and fine lines. A peel is done on areas not lifted such as the lower eyelid, nose and forehead.

Dermabrasion is used around the mouth for vertical rhytids/deep wrinkles to smooth this region.

The combination of a chemical peel and dermabraison ensures a total facial rejuvenation.

The photo on right is a 55 yo patient shown post op, she is actually a grand ma!

HIGH SMAS FACE AND NECK LIFT

A High SMAS Face and Neck Lift is exclusively offered by Dr Jack Zoumaras in Sydney. Trained and inspired by Dr Timothy Marten in San Francisco a High SMAS Face and Neck Lift is the ultimate rejuvenating Facelift.

Few Surgeons in Australia offer this technique and if you are ready to invest in looking your best a High SMAS Face and Neck Lift will transform your face and release your inner confidence.

A High SMAS Facelift will lift the lower eyelid, cheek, nasolabial folds, mid face, jowl and neck.It is best for lower eyelid hollowing, deep naso labial folds, jowls, and neck laxity or a double chin.

Dr Jack Zoumaras, Key Note Speaker

Video: What is high smasface and neck lift

Learn about the types of facelift procedures Dr Jack Zoumaras offers and why patients commonly consider a facelift.

Before After
Before After

Why High SMAS

A good modern facelift, lifts the deep layer of the face (layer 3-see below) to reposition the cheeks, mid face and jowls. A High SMAS Facelift goes further by lifting the deep layer of the face (SMAS) at its highest possible position in line with the orbital rim and all the way down to include the neck laterally and centrally. This flap lifts the entire face and neck for the ultimate result.
Traditional Smas facelifts lift the SMAS below the cheek bone. A High SMAS Facelift designs the flap in line with the orbital rim high on the cheek bone. You can see in the diagrams re-printed with permission from Dr Marten that the High SMAS Vector design is high and therefore lifts the lower eyelid and mid cheek.
A High SMAS Facelift is more powerful than traditional SMAS techniques because it lifts the entire face from the lower eye and the neck in one powerful flap.
HighSMAS
HighSMAS

Why Dr Zoumaras technique is best

Dr Jack Zoumaras is 2017 and 2019 Vogue Face Expert and his practice is only Face. He has been trained by world leaders from San Francisco, New York and Paris. Training with the best to become one of the best. He is current chairman of the Australian Society of Plastic Surgeons NSW Chapter and a specialist Plastic surgeon. He is one of few plastic surgeons to offer a High SMAS Facelift and Deep Plane Facelift.

The inspiration for Dr. Jack Zoumaras is to be the best facelift surgeon he can be. This means constant self reflection and critique and higher learning. This ensures that every aspect of the technique from the injection of the local anaesthetic, background classical music, positioning of the patient, careful planning of the incision ensures a superior outcome with all the bells and whistles.

A Facelift is not meant to be a fast operation, it is an operation that takes time (minimum 3-4 hours and up to 6-7 hours) when executed with real finesse and attention to detail.

The use of structural fat grafting with 24K (insert link to Fat transfer page) is our secret weapon in Facelifts. Fat grafting will not only augment facial volume it provides a stem cell matrix to the skin. This illuminates the skin and has your skin looking firmer with fewer blemishes. It ensures your facelift is not just anti-ageing but glamorising.
careful incision placementMeticulous placement of the incision behind the tragus of the ear, along the hairline in the temple, behind the ear and along the posterior hair line ensures an inconspicuous scar. Further attention by placing the incision along the hair follicles at a bevelled 45 degree angle ensures hair will grow around camouflaging the incision. You don’t need to worry about facelift scarring with Dr Zoumaras because you won’t see it and nor will anyone else.

By lifting the SMAS with a Deep Plane Face Lift the tension is placed deep. The excess skin is simply removed with no tension and the direction of muscle pull is vertical and not horizontal. This eliminates any wind blown affect or “pull” affect.

A lip lift will augment the upper lip, shorten the distance from the lip to nose and of course lift the lip. It involves removing skin from just beneath the nose with the incision concealed at the base of the nose. Adding a lip lift to the facelift doesn’t just lift the lip and make the upper lip look fuller it glamorises the mid face, by balancing the mid face. This will glamorise your facelift.

This patient is a 67 yo post High SMAS Face and Neck LiftA chemical peel is included with your facelift for skin blemishes and fine lines. A peel is done on areas not lifted such as the lower eyelid, nose and forehead. Dermabrasion is used around the mouth for vertical rhytids/deep wrinkles to smooth this region. The combination of a chemical peel and dermabraison ensures a total facial rejuvenation.

This patient is a 67 yo post High SMAS Face and Neck Lift.

Dr Jack Zoumaras

Dr Jack Zoumaras with Dr Timothy Marten in San Francisco.

As Seen On

Plastic Surgeon Appeared in 7 News | Dr Jack Zoumaras
Cosmopolitan Magazine
Marie Claire Magazine
Vogue Magazine
Woman's Day
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