Does The SMAS Facelift Include The Neck?

A Superficial Musculoaponeurotic System (SMAS) facelift is a surgical procedure aimed at target signs of ageing at the lower face and neck by addressing deeper layers of tissue beneath the skin. This technique focuses on lifting and tightening the SMAS layer, which is a network of muscles and connective tissues that play a key role in facial expressions and structural support.

What is the SMAS Layer?

Our skin is composed of five layers, with the third layer known as the SMAS (Superficial Musculoaponeurotic System). The SMAS layer connects the facial muscles to the skin, extending from the forehead down to the neck. This layer is integral to facial expressions, enabling movements such as talking, smiling, whistling, singing, and blinking. Over time, factors like ageing and gravity can cause this layer to lose its elasticity, leading to loose skin, jowls, and a less defined jawline. 

Does a SMAS Facelift Include the Neck?

A traditional SMAS facelift primarily targets the lower face, lifting the deeper facial layer (SMAS) below the cheekbone to improve sagging in the mid-face and jowls. However, there is a more advanced technique called the High SMAS Facelift, which extends the lift beyond the mid-face to include the neck.

The High SMAS Facelift repositions the SMAS at its highest possible point, aligning with the orbital rim (under the eye) and extending all the way down to lift the neck, both centrally and laterally. This technique provides a more comprehensive lift, addressing the lower eyelid, mid-cheek, jowls, and neck in a single continuous flap. 

Is Adding a Neck Lift Necessary?

While a SMAS facelift involves changing the appearance of the neck, some individuals with more advanced neck ageing may benefit from additional procedures. Techniques such as platysmaplasty (which tightens the neck muscles) can be combined with a SMAS facelift to potentially create definition and smoothness. It is important to consult with a qualified surgeon to determine the best method for your individual needs. 

Consultation with a Qualified Surgeon

It’s essential to recognise that each person’s facial anatomy and ageing process are unique. Therefore, getting a GP referral and consulting with a qualified and experienced surgeon are crucial steps to determine the most appropriate treatment plan for your specific needs. It is also important to understand the potential risks involved in each procedure. 

If you want to learn more about the SMAS facelift and other facelift techniques, reach out to Artiste Plastic Surgery. Our Specialist Plastic Surgeon, Dr Jack Zoumaras, has a deep understanding of the anatomy of ageing and is highly experienced in different facelift techniques. He will assess your unique situation to recommend the best approach to help achieve your goals. Schedule a consultation today.

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.