Various surgical methods in face-lift surgery have been developed and widely accepted. Those methods are subcutaneous rhytidectomy, SMAS rhytidectomy, extended SMAS rhyidectomy, subperiosteal rhytidectomy, deep plane rhytidectomy, compoisite rhytiedctomy, and so on. So what kind of face life procedure is the best approach? The one thing that is certain about this is that all face lifts should not be the same procedure because all faces are variable.
  We experienced 24 rhytidectomy cases from April, 1991 to March, 1998. The conventional rhytidectomy is 7 csaes, the extended SMAS rhytidectomy is 12 cases, the composite rhytidectomy is 3 cases, and the endoscopic rhytidectomy is 2 cases. The combined procedures with rhytidectomy are blepharoplasty, rhinoplasty, chemical peel, dermabrasion, fat graft, bone contouring, and so on. We analysed the postoperative satisfaction of the patients with nasolabial fold, jowl, crow's feet, and laxity of cheek. We graded the degree of pateint's satisfaction into excellent, good, fair, and no change and scored(excellent ; 3 points, good ; 2 points, fair ; 1 point, no change ; 0 point). The total scores of the conventional rhytidectomy, the extended SMAS rhytidectomy, and the composite rhytidectomy were 2.8, 8.5, and 8.3 respectively. 
  From our study, we concluded that the extended SMAS rhytidectomy is a very effective and appropriate method for Orientals. The advantages of the extended SMAS rhytidectomy are as follows.
  1. Individualization according to each patient's characteristic is possible because of different vector to SMAS and skin.
  2. This method is effective especially on nasolabial fold and jowl.
  3. The cheek fat is anatomically repositioned.
  4. Tension free skin closure is done and the scar is minimal.