SMAS Facelift Technique

There is no question that facial cosmetic surgery is on the rise as the Baby Boomer generation (those born between 1946 and 1964) starts to age. According to the American Society for Plastic Surgeons, the total percentage of facial rejuvenation techniques saw a sizeable increase in 2012, while other cosmetic procedures saw a drop from the previous year.

The number of facelift procedures in particular increased by a considerable amount from 2011. A total of 126,000 facelift procedures were performed in 2012, representing an increase of 6 percent from the previous year. This made facelifts the fifth most popular cosmetic surgical procedure for 2012. Among these, the superficial musculoaponeurotic system (SMAS) facelift is the most popular.

What Is the SMAS Structure?

There are several layers to the cheek and front of the neck. There is the superficial epidermal layer, subcutaneous fat, and an underlying tissue membrane and muscle structure. This structure is known as the SMAS and allows for full movement of the facial muscles.

What Is the SMAS Facelift Technique?

In the SMAS technique, the entire structure, along with the more superficial epidermal and subcutaneous fat levels, are treated. This includes the thick flap that runs from the check, back to the ear, and then down to the front of the neck. This flap is then pulled tight, sutured back into place, and the excess skin and underlying tissue are then removed. The SMAS facelift can be done in conjunction with liposuction to remove excess fat around the front of the neck and under the chin to eliminate jowls and double chin. However, in most cases, the SMAS facelift alone provides excellect facial rejuvenation results.

How Does the SMAS Facelift Compare to the Traditional Facelift?

In a traditional facelift, just the epidural and subcutaneous fat layers are treated. These layers are then pulled tight and sutured back into place. In most cases, the sutures will be just at the hairline. The biggest advantage for the SMAS technique over traditional facelifts is that there is less of an overly tight look to the face after the procedure is complete. Because the underlying SMAS has also been adjusted, it puts much less tension on the top two layers of the face, and will result in a more natural appearance.

Risks, Recovery, and Results

Bruising and swelling following the procedure are the two main side effects. These can be alleviated with rest and time. Taking the herb Arnica montana may also help reduce the amount and duration of bruising and swelling. In most cases, patients can resume normal activities, such as driving and going to work or school, within one to two weeks following the procedure, once most of the initial bruising and swelling has healed. Patients should begin to see results at the same time.

There is no reason for patients to accept the fact of facial aging. The surgeons at Jefferson Plastic Surgery can help patients look as young as they feel with a SMAS facelift. To schedule an SMAS facelift consultation, contact us today.