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Why Dr. Dunn Does Not Recommend the Mini Facelift

Understanding the Limitations of the "Short Scar" Procedure

The term "Mini Facelift" has gained popularity as a quick-fix solution, promising significant facial rejuvenation with less downtime and a shorter scar. While appealing in theory, Dr. Brandyn Dunn, a board-certified facial plastic surgeon, holds a firm and evidence-based stance against the "Mini Facelift" approach. He views it as a fundamentally limited procedure that fails to address the true underlying causes of facial aging, leading to inferior, short-lived, and often unnatural results.

Dr. Dunn's core philosophy is centered on comprehensive and lasting facial harmony. Because a Mini Facelift typically only addresses the skin and superficial tissue, it cannot achieve the deep structural correction necessary to provide true rejuvenation across the jawline and neck. We believe patients deserve a procedure that offers enduring value, not a temporary solution.

The Definition and Limitations of the Mini Facelift

A Mini Facelift is generally defined by two factors: a shorter incision (often ending at the earlobe rather than extending into the hairline) and a limited surgical scope. This procedure rarely addresses the deeper, structural layers of the face.

Technical variations of the Mini Facelift usually involve either:

  1. Skin-Only Lift: Simply pulling the skin tight and excising the excess, which puts tension on the incision line.
  2. SMAS Plication: Bunching up or folding the underlying muscle layer (SMAS) with internal sutures, rather than fully lifting and repositioning it.

This shallow approach is the source of its major weakness. Since facial descent is caused by the loosening of deep ligaments and tissues—not just loose skin—a superficial procedure cannot truly reposition the sagging elements. The result is a short-term tightening effect, followed by a rapid return to the pre-operative state.

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The Surgical Drawbacks of a “Quick Fix”

Dr. Dunn’s clinical experience and deep anatomical knowledge confirm several technical shortcomings inherent to the Mini Facelift:

  • Short-Lived Results: Because the foundation (the deep SMAS and neck structures) is left unaddressed, gravity quickly pulls the superficially tightened skin back down, often limiting results to only 2-5 years.
  • Poor Neck Correction: The minimal access provided by the short incision prevents the surgeon from fully tightening the central neck muscles (platysma banding) and eliminating loose skin under the chin.
  • Reliance on Skin Tension: By failing to lift the deep structure, the Mini Facelift must rely on pulling the skin. This tension is what creates the dreaded "pulled" or "wind-swept" appearance and can cause unnatural widening of the scars over time.
  • Incomplete Jawline Definition: True correction of jowls and restoration of the acute jawline angle require wide access and deep lifting, which the short incision cannot accommodate.

Dr. Dunn’s Core Philosophy: Why Depth Matters

Facial aging occurs from the inside out. The deepest layers—the fat compartments, retaining ligaments, and the SMAS muscle layer—are what shift and descend over time.

Dr. Dunn advocates for the Deep Plane Facelift or a comprehensive SMAS technique because these procedures:

  1. Release the Ligaments: They release the deep retaining ligaments that anchor the SMAS layer down.
  2. Reposition the Tissue: They lift the entire cheek, jowl, and neck complex as a single, natural unit.

By repositioning the foundation, the Deep Plane Facelift provides a powerful, long-lasting lift with absolutely zero tension on the skin. The skin simply drapes naturally over the newly lifted and secured underlying structure.

Understanding the Deep Plane Difference

Choosing a comprehensive surgical technique offers superior value and aesthetic quality compared to the Mini Facelift:

Longevity: A proper deep lift can easily last 10 to 15 years, offering a much better return on the patient's investment of time and resources. Natural Results: Because the tissues are lifted as a natural unit, the expression remains untouched, and the results move naturally with the face. Complete Correction: The extended access allows Dr. Dunn to fully address the entire neck contour, including the deep neck fat and the platysma muscles, resulting in a crisp, sharp cervicomental angle that is simply unachievable with a Mini Facelift.

Safety and Long-Term Value


The term "Mini" often implies less risk, but this is a misconception. Any procedure that relies on pulling the skin risks an unnatural result, potentially requiring a costly revision surgery sooner than expected.

Dr. Dunn believes the greatest value lies in the artistry and technical mastery required for a comprehensive facelift. When performed by a board-certified facial plastic surgeon, the Deep Plane approach provides a highly secure and predictable result—one that truly turns back the clock on the aging process rather than offering a temporary camouflage.

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Ready to Invest in a Lasting Result?

If you are considering facial rejuvenation, choose a solution built for longevity and natural artistry. Dr. Brandyn Dunn and our team are dedicated to providing the gold standard in facial surgery, ensuring your investment yields enduring confidence.

Schedule your personalized consultation to discuss a comprehensive, long-lasting rejuvenation plan.

Contact our office at (949) 849-0336 or use our online booking tool to request an appointment for a Facelift consultation.