This procedure is recommended for people with moderate to severe signs of aging. This type of incisional method can offer dramatic anti-aging results because it allows the surgeon to reverse aging signs directly at the source location. The incision approach affects the deep set tissue (SMAS), not just the outer skin. By lifting the skin and managing the SMAS layer, the skin can be redraped, giving the most effective long-term results. A decade ago, surgeons only targeted the skin and sub-cutaneous layer, giving only short-term results. Targeting the SMAS layer delivers better results that last much longer. The scars also heal very smoothly due to limited tension at the incision site. The SMAS layer is pulled tight instead of the skin, which greatly reduces the possibility of the skin weakening and re-sagging.