@drjenniferwalden: When the Surgeon Becomes the Patient — Part 2 One of the most common questions I’ve received since sharing my journey is: “What technique did Dr. Aston use?” On postop day 4, I sat down with Dr. Sherrell Jerone Aston to answer that question together! The truth is, there is no single “best” facelift. There is only the best operation for the patient’s anatomy. Many people today hear terms like deep plane, composite facelift, high SMAS, or SMASectomy on IG and assume one technique is universally superior. But surgery isn’t driven by trends—it is driven by anatomy, experience & sound judgment @doxtoraston explains that my anterior SMAS was exceptionally thin, making a composite or traditional deep plane dissection less favorable in my particular case. Instead, he performed a High SMAS facelift, allowing him to achieve an elegant, natural repositioning, respecting my tissue characteristics & preserving vascularity. As surgeons, we don’t operate on hashtags, we operate on patients. One of my favorite moments in this video is when Dr. Aston holds my 3rd grade school photo & points out that my eyes still resemble that little girl. We also included my senior portrait & a photo from my fellowship days when we posed together for the cover of Italian Vogue. Those images remind us that facial rejuvenation isn’t about creating a new face—it’s about restoring the one that has always been yours As both his former fellow & now his patient, watching him analyze my anatomy & explain his decision-making was reminder of what separates a great technician from a true master surgeon. Decades of experience, thoughtful judgment, meticulous execution This is why we made this video for our online audience: not to sell you on one “best” technique, but to show the best technique is the one matched to your anatomy — by a surgeon who can actually read it and adapt in real time. That’s the difference between a good outcome and a great one, and it’s the education patients deserve before they ever book a consult. Every facelift should be individualized. The operation should fit the patient—not the latest trend. Suggested reading for anyone interested below: Suggested reading for surgeons and anyone interested in facial rejuvenation: 1. Aston SJ. Cervicoplasty. Clin Plast Surg. 1975;2(2):269-278. 2. Aston SJ. The FAME Facelift: Finger Assisted Malar Elevation. Presented at The Cutting Edge Aesthetic Surgery Symposium, New York, 1998. 3. Barton FE Jr. The “High SMAS” Face Lift Technique. Aesthet Surg J. 2002;22(5):481-486. 4. Hamra ST. Composite Rhytidectomy. Plast Reconstr Surg. 1992;90(1):1-13. 5. Chadab TM, Wiegmann AL, Rohrich RJ. The Invisible Scar: Energy-Based Facial Tightening Through the Lens of the Deep-Layer Facelift Surgeon. Aesthet Surg J. 2026;46(7):799-805. 6. Minelli L, van der Lei B, Mendelson BC. The Superficial Musculoaponeurotic System: Does It Really Exist as an Anatomical Entity? Plast Reconstr Surg. 2024;153(6):1023-1034. • Cervicoplasty — Sherrell J. Aston • FAME Facelift — Sherrell J. Aston • High SMAS Facelift Technique — Fritz Barton • The Composite Facelift — Sam Hamra • The Invisible Scar: Energy-Based Facial Tightening Through the Lens of the Deep-Layer Facelift Surgeon — Tara M. Chadab, Rohrich et al. Aesthetic Surgery Journal. 2026. • Is There SMAS in the Anterior Face? — Lennert Minelli And yes… @beautybrokerofficial was right about one thing: everyone suddenly has an Instagram education. But the operating room has a way of reminding us that anatomy—not algorithms—is still the ultimate teacher. #PostOpRecovery #facelift #austinplasticsurgeon #plasticsurgery #glp1

Dr Jennifer Walden Skincare

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Monday 20 July 2026 00:36:05 GMT