SMAS facelift

Modern facelift techniques to restore the youthful features of the face by elevating the deeper fat compartments and restoring the tissues to a more youthful position . The most powerful surgical procedure in elevating the tissues is the tightening of the layer of tissue called the SMAS. This layer is called the Superficial Musculo-Aponeurotic System.  The SMAS layer invests the muscles of the face but also the fat compartments. Elevating and tightening this layer restores the youthful appearance by lifting the fat compartments of the cheek and jaw line. Typically this results in an improvement in cheek definition and jaw line definition with the elimination of jowls.

The SMAS layer can be adjusted in a number of different ways, and each represents a different facelift technique. 

This layer can be tightened in various ways to elevate the tissues and thereby correct the jowls, provide fullness high in the cheekbone area and also correct loose muscle in the neck. Correct elevation and tightening of this layer is critical to avoid tension on the skin and to avoid an ‘operated look’.

SMASectomy facelift

The manner in which this layer is tightened and repositioned gives rise to some of the different types of techniques. The SMAS later can be tightened by removing a strip of this tissue and stitching the edges together which is called a SMASectomy facelift.

SMAS plication facelift

An alternative is to avoid removing a strip of the SMAS but to use tightening stitches to fold this layer inwards thereby preserving volume in the face. This is called the SMAS plication facelift.

Extended SMAS facelift

If the SMAS layer is widely elevated a long flap of this tissue is available and the tension can then be adjusted in various directions according to where the ageing features are most prominent, the extended SMAS facelift.


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