To achieve a lasting and natural lifting effect on the face, simply pulling on the skin or placing basic stitches is insufficient (as the skin relaxes); one must act on the support structures and deep tissues located beneath the skin.

noli's read

The creator highlights a well-established anatomical principle: the skin possesses natural elasticity that causes it to relax quickly if it is the only component used to support the face. An observational study published in the Aesthetic Surgery Journal confirms that techniques acting solely on the skin have limited durability over time due to this cutaneous laxity. Conversely, research, notably a clinical review published in the journal Plastic and Reconstructive Surgery, shows that repositioning deep support structures (the tissue envelope beneath the skin) reduces surface tension. This allows for a much more harmonious visual result and avoids a frozen or 'pulled' appearance. Although the term 'muscles' used by the creator is a simplified reference to fibrous membranes and support tissues, the explanation is scientifically very sound. In short, science validates the idea that a simple surface adjustment cannot match the hold and natural appearance of work performed on the deep anchoring layers.

the sources

No named source held this one up — that absence is part of the verdict.