SMAS Lift, SMAS Flap Facelift?
“SMAS” stands for sub muscular aponeurotic system. The fancy name is just a way to describe the layer found immediately beneath facial skin and fat. Closer to the ear this layer is a thin fibrous sheath, further in toward the nose it transitions to the muscles that move your face, mouth, nose, eyes, etc. and are essentially responsible for your facial expressions. Into the neck, the layer becomes a thin coat of muscle that can tent neck skin. Using this layer for suspension could potentially provide a more substantial lift, both in terms of result and longevity.
The reasons some surgeons shy away from this type of lift is that it requires dissection under this layer. The problem with this is that the nerve that supplies the facial musculature, the facial nerve, with its many branches is at a considerably higher chance for injury. This can happen, albeit temporarily, even if the nerve is not cut, but only stretched or tugged. The result is paralysis of some of the muscles of facial expression, which could range from a purely cosmetic, temporary deficit, to more serious problems like oral incontinence, or the inability to close the eyes.
A more limited dissection exposing only enough edge to sew without risking a deeper dissection can achieve similar results to a full SMAS lift. In conclusion, the full submuscular aponeurotic system (SMAS) lift should be reserved lift for smokers, while a variation of this deeper lift involving more limited dissection should be reserved for patients without and risk of devascularizing a thin muscular flap.
Understanding SMAS Lift Techniques
The SMAS lift, also known as the submuscular aponeurotic system lift, is a popular facelift technique. It involves lifting and tightening the underlying SMAS layer, providing comprehensive facial rejuvenation. Let’s explore the benefits and techniques of SMAS facelift procedures.
What is the SMAS?
The submuscular aponeurotic system (SMAS) is a layer of tissue beneath the facial muscles. It plays a significant role in facial structure and support. During the aging process, the SMAS weakens and sags, leading to facial laxity. Furthermore, it addresses this issue by repositioning and tightening the SMAS layer.
The SMAS Lift Procedure
The SMAS lift procedure involves making incisions along the hairline or behind the ears. The surgeon then lifts the SMAS layer, tightening it and repositioning it to achieve a more youthful appearance. By addressing the underlying tissues, the SMAS lift provides long-lasting and natural results.
Benefits of SMAS Lift Techniques
SMAS lift techniques offer several advantages over traditional facelift approaches. By targeting the deeper layers of the face, the SMAS facelift provides more significant and comprehensive rejuvenation. It addresses both skin laxity and the underlying muscle and tissue support, resulting in a more natural and refreshed appearance.
SMAS Flap Technique
The SMAS flap technique is a variation of the SMAS lift. It involves mobilizing the SMAS layer and advancing it in a flap-like manner. This technique allows for more extensive repositioning and tightening of the SMAS, providing even more dramatic facial rejuvenation.
Recovery and Results
Recovery from an SMAS lift procedure typically involves temporary swelling and bruising, which gradually subside over time. The results of the SMAS facelift become apparent as the healing process progresses, with the final outcome becoming evident within a few months. Patients can enjoy long-lasting and natural-looking rejuvenation.
Consultation and Considerations
If you are considering an SMAS lift, it’s important to schedule a consultation with a qualified plastic surgeon. They will assess your specific concerns and determine if you are a suitable candidate for the procedure. They will also explain the risks, benefits, and expected outcomes to ensure you make an informed decision.
Conclusion
In conclusion, the SMAS lift is a highly effective technique for achieving natural facial rejuvenation. By targeting the submuscular aponeurotic system (SMAS), this procedure addresses both skin laxity and the underlying structural support of the face. With its various techniques, including the SMAS flap, the SMAS facelift provides comprehensive and long-lasting results.
Check out our gallery of before and after images for face lift: https://www.fineryou.com/before-after-galleries/face-lift/
