SMAS Facelift

SMAS Facelift

The SMAS facelift is a surgical facial rejuvenation procedure that focuses on the deep connective tissue layer (known as SMAS, Superficial Musculo-Aponeurotic System) to tighten and lift the underlying tissues.

Anesthesia

General

Procedure duration

2-3 hours

Recovery

10 days

Hospitalization

Not required

SMAS facelift

Introduction to SMAS and Its Benefits

The Superficial Musculo-Aponeurotic System (SMAS) is a commonly used technique in plastic surgery to rejuvenate the face. It involves repositioning the facial skin with the aim of achieving a more youthful and rested appearance. SMAS is a layer of fibromuscular tissue that extends from the ear to the neck and plays an important role in facial expressions. Over time, the SMAS weakens, and facial muscles tend to descend, leading to aesthetic issues such as neck sagging, a double chin, sunken cheeks, and deep wrinkles. The SMAS facelift procedure becomes the appropriate option to reverse these signs of aging.

Technique and Process of SMAS Facelift

The SMAS facelift is performed under general or combined anesthesia. The procedure begins with an incision in the skin, typically placed in the temporal area and following the natural contour of the face, passing through the ear. The surgeon then separates the skin from the muscles and other underlying tissues to access the SMAS. Excess fat is removed through liposuction, and an incision is made in the underlying tissue to release the SMAS flap.

The SMAS is repositioned higher to correct the sagging of facial muscles and is secured in its new position. Sutures are used to close the incisions, with the goal of hiding the scars along the hairline and minimizing their visibility. After surgery, the patient may require postoperative care and is advised to keep the head elevated and use cold compresses to reduce swelling.

Indications for SMAS Facelift

SMAS is indicated for individuals who show visible signs of facial aging caused by the weakening of fibromuscular tissue. Symptoms may include neck sagging, a double chin, loss of volume in the cheeks, and deep wrinkles around the mouth.

There is no “correct age” to undergo the procedure, as aging affects each person differently, but seeking medical advice is recommended when symptoms become visible.

Recovery after SMAS Facelift

After the procedure, it is recommended to stay in the hospital for 24 to 48 hours to receive personalized postoperative care. However, depending on the case, recovery at home with proper medical assistance is possible.

In the first 72 hours after the procedure, it is advisable to use cold compresses to reduce facial swelling. Patients may also receive medication to alleviate pain, improve sleep, and treat nausea if necessary.

Antibiotic therapy during the first five postoperative days helps prevent infections. Doctor’s visits are scheduled to remove drains, inspect the wound, and change dressings. Sutures are typically removed approximately one week after surgery. Most people can resume their normal activities within two weeks after the procedure.

Before and after

The main difference lies in how the SMAS is treated. Traditional facelift involves plications (folds) in the SMAS, whereas SMAS facelift repositions it without plications, making it less aggressive with a faster recovery.

The SMAS facelift procedure involves making strategic incisions in the skin to access the SMAS and reposition it higher. Excess fat is removed through liposuction, and then the incisions are closed with sutures.

SMAS facelift improves cheek and chin volume and tone, eliminates a double chin, and redefines the jawline, achieving a rejuvenated and natural appearance.

This procedure is recommended when natural aging processes weaken the SMAS and cause neck sagging, a double chin, sunken cheeks, and deep wrinkles around the mouth.

The duration of the procedure varies but generally lasts around 4 hours, depending on the specific case.

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