Understanding the High SMAS Facelift Procedure

Facelift surgery focuses on lifting and repositioning facial tissues. Among the techniques available is the high SMAS (Superficial Musculopeneurotic System)  facelift.

This article explores the high SMAS facelift, the approach, and its difference with other techniques. Read on.

How a High SMAS Facelift Differs From Traditional Techniques

The high SMAS facelift targets the face’s deeper layers, unlike traditional facelifts. Traditional facelifts primarily lift only the superficial skin.

Working above the zygomatic arch or the cheekbone, the high SMAS facelift allows for a more vertical lift of the deeper facial tissues. This approach targets the mid-facial structures like the malar fat pad which descends with ageing, and also softens the nasolabial folds.Focusing on those regions allow for a more natural enhancement of the mid-face shape.

Understanding the Procedure

A high SMAS facelift can be performed under IV sedation or general anaesthesia and often takes several hours. Incisions are made along the hairline to free the SMAS layer from the skin and subcutaneous fat layers, allowing your surgeon to lift and tighten the facial and neck skin together. Any excess fat or skin will be trimmed off and the surgical incision will be closed using sutures.

What to Expect After the Surgery

Unlike other facelift techniques, high SMAS facelift patients can expect less bruising, as the procedure is less traumatic to the skin’s superficial layers. Swelling, numbness, and discomfort can also be expected during the first few weeks following the surgery but should dissipate after that. Make sure to limit physical activities and sun exposure until fully healed. 

Disclaimer: At Artiste Plastic Surgery, our Plastic Surgeons led by Dr Jack Zoumaras have been trained to the highest possible degree. All surgery has risks and it is always advised to get a second opinion. Risks are very real and we cannot guarantee any result. Results are illustrated as a guide only. All risks are managed and any need for revision surgery or complications (1-5%) can be managed by our specialist plastic surgeons.

Any statements on how you will feel is based on Level V Evidence:

Level V:  How you will feel after plastic surgery varies between individuals, depending on psychological and physical factors. Our internal research is based on how patients in our practice feel after surgery.

The blogs are not a substitute for a medical consultation and do not form as part of the doctor to patient relationship.