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What Is the Composite Facelift?

The Composite Facelift is a next-generation procedure that far surpasses facelifts thought to be the best today. The recovery is a bit longer, but it yields longer-lasting, more natural-looking results.

The Composite Facelift is based on the concept that the face ages as one dynamic, universal unit, rather than as a group of isolated and independent parts.

Traditional or conventional facelifts don't take this into account and do not always age well, and can result in a “facelifted” appearance.

We have created a two-minute "Introduction" and a nine-minute video on the "Essentials of the Composite Facelift" to present the details of how and why Dr. Hamra's approach works so well to restore the contours of youth.

The material introduced in the "Essentials" video is also presented in detail below for those who would like to study the elements in a more leisurely fashion.

Why the Composite Facelift?



Traditional versus The Composite Facelift


Traditional Facelift

Composite Facelift

While previous procedures only repositioned tissue horizontally, the Composite counters the natural descent of the face with a true vertical lift. The strongest lift direction is upwards, toward the eye.

Another important difference between the Composite and facelift traditional procedures is in the treatment of the lower eyelid area.

skeletonization of the aging face

This progression shows the gradual “skeletonization” of the face that occurs as we age, as the soft tissues of the face relax and reveal the outline of the underlying bone. Notice especially the changes below the eyes.

For decades, surgeons have refreshed the eye area with a blepharoplasty — eyelid lift. Most people are satisfied with the upper eyelid portion of the procedure because it tends to yield predictably good results.


The Lower Eyelid
But the lower eyelid is a different story. Traditionally, surgeons removed the under-eye fat pads and lifted the skin and muscle only as far as the orbital rim, the bony ridge below the eye socket. Unfortunately, the skin can eventually collapse into the depression that was made even deeper by the fat removal, resulting in a hollow, gaunt appearance over time.

The Composite Lift preserves most (possibly all) of the fat beneath the eye and repositions it (with its thin but strong cover, the orbital septum) over the orbital rim, smoothing the transition from lower eyelid to cheek.

This eyelid-cheek junction plays a major role in a youthful or aging look. A smooth transition from lower eyelid to cheek is a youthful appearance. Anything else is not.

traditional fat removal
Traditional Blepharoplasty
composite repositions fat
Composite Blepharoplasty

Endpoints of the Composite Facelift


Let's look at the normal anatomy and what parts were changed in order to create harmony.

 From the neck up, you can see dramatic improvement in every area of her face.
Keep these endpoints in mind when you view the photos in our gallery of primary facelift patients.



 Advantages of the Composite Facelift

Three things set the Composite Facelift apart:
  • Youthful anatomy is restored
  • No "face-lifted look"
  • Long-lasting results
With the Composite technique, we are able to balance every horizontal pull, particularly of the lower face, with a vertical lift, which also counters the natural descent of the face. By also elevating the forehead, this approach ensures that the soft tissues of your face are draped from the highest possible point to guarantee the smoothest possible look. Because of this, the upper parts of the face will never come crashing down over the operated lower parts of the face. This harmony is maintained for years.

And those telltale distortions of facelift surgery are nearly a thing of the past…