South Texas Plastic Surgery Blog

About the SMAS Facelift Technique

SMAS Facelift Technique - Victoria, TX

Posted on: February 11, 2017

A woman in the sunlightPeople in and around Victoria often ask "Which facelift surgery is right for me?" The answer to that question can be complicated since there are many different facial lifts that can be performed. One such facial rejuvenation procedure that seems confusing is the SMAS facelift.

We'd like to use this post to cover the basics of the SMAS facelift, and then discuss how it may benefit you.

What Is the SMAS Facelift?

Let's start off by defining the SMAS.

SMAS stands for superficial musculoaponeurotic system. This is a layer of facial muscles and fibrous tissue of the face that starts around the ear area and extends down to a person's neck.

As people age, it's common for the SMAS to droop and sag with time. This creates numerous issues with the lower portion of the face, including jowls, marionette lines, nasolabial folds, and loose skin along the neckline.

The SMAS facelift adjusts this portion of the face in order to reduce the amount of drooping and sagging around the jawline and neckline. The result is a much more youthful appearance.

SMAS Facelift vs. Lower Face Lift

While the SMAS facelift sounds a lot like the traditional lower face lift, they are technically different procedures. The lower face lift is targeted to the jawline and neckline specifically, while the SMAS facelift targets the SMAS per se.

Given, most facial lift procedures often involve adjustment of the SMAS in some degree in order to enhance a patient's appearance. To a certain extent, the differentiation in surgery names is confusing, and the terminology is typically difficult to decipher from the standpoint of your average person. That said, we will determine an ideal surgical approach that fits your needs.

Ideal Candidates for SMAS Facelift

Good candidates for SMAS facelift surgery are people who have issues with loose skin and sagging skin around the jawline, neck area, and mouth. They should be in generally good health and not suffer from any sorts of medical problems that would cause a facial plastic surgery procedure to be a major health risk. It's also important that patients have a good understanding of the risks and benefits of surgery, which will offer realistic expectations about the procedure and what it entails.

The SMAS Facelift Procedure

There are different ways that a surgeon can go about SMAS facelifts.

  • SMAS Plication Facelift – This type of SMAS facelift involves the use of sutures in the SMAS layer and the platysma muscle. This reduces the prominence of jowls and tighten the drooping neckline.

  • Extended SMAS Facelift – The extended SMAS procedure involves the suturing and lifting of the SMAS and platysma muscle in order to improve the overall appearance of the face, particularly the lower portions of the face.

  • High SMAS Facelift – High SMAS facelift surgery makes adjustments to the underlying tissue of the face in order to address issues with the neckline, jowls, and portions of the cheek area.

During the consultation process, we can discuss which type of SMAS facelift may be most ideal given your situation. Each of the procedures is performed under general anesthetic to prevent pain and anxiety.

Recovery from SMAS Facelift

Patients will want to take roughly one to two weeks off from work so they can focus on recovery. Common symptoms such as pain, bruising, and swelling will last for a week or so, with continual improvements from day to day. Scarring after surgery is carefully hidden so patients will not have to feel self-conscious. A few followup visits are scheduled following surgery to monitor the healing progress and ensure optimal results.

Contact South Texas Plastic Surgery

To learn more about your facial plastic surgery options and how we can help you have a younger and more rejuvenated appearance, be sure to contact our advanced skin care and plastic surgery center today. The team at South Texas Plastic Surgery will work with you to enhance your appearance and your sense of self.


South Texas Plastic Surgery Victoria Office 601 E San Antonio
Ste 302W

Victoria, TX 77901
(361) 576-1975

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