Everyday Oral Surgery

Facelift Rejuvenation: Pearls on Diagnosis, Surgical Technique, and Postop Protocol (with Dr. Harkaran Rana)

Mar 23, 2026
Dr. Harkaran Rana, an oculoplastic and facial plastics surgeon specializing in deep-plane facelifts and reconstructive care. He walks through preop evaluation and realistic expectations. He describes incision planning, deep-plane and SMAS resuspension techniques, nerve awareness, neck and platysma management. He covers postop wraps, edema, scar care, timing for photos, and tips for surgeons learning the procedure.
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ANECDOTE

Brow Lift Solved A Patient Who Thought She Needed Blepharoplasty

  • Rana recounts a case where a brow lift, not blepharoplasty, solved an esthetician's concerns.
  • Lifting the brow restored appearance and satisfied the patient without eyelid surgery.
ADVICE

Begin Posteriorly To Control Bleeding

  • Do start dissection posteriorly to minimize dependent bleeding and retract the ear with a traction suture.
  • Glide superficial to SCM into the neck first, pack this area, then address the midline only if neck redundancy requires it.
ADVICE

Preserve The Midline To Reduce Dead Space

  • Try preservation facelift principles: avoid unnecessary midline neck communication to reduce dead space and anterior perforator bleeding.
  • Open submental pocket only when significant neck laxity demands a midline platysmal approach.
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