SMAS facelift stands for “Superficial Musculo-Aponeurotic System” where the muscles and connective tissues underneath the cheeks contribute to the muscles around the corner of the lips and create facial expressions which combined with aging, sun damage and other traumas make the epidermal layers of the skin less elastic. Other symptoms include early deepening of the nasolabial folds and skin laxity around the jaw lines creates commissure mandibular folds. This procedure is best suited for people in their 30’s and 40’s when early aging signs start to show.
SMAS commonly used in patients with relatively round or full faces who are not happy with their nasolabial folds. Some of these patients also need to undergo a neck lift procedure due to having a "turkey waddle". The SMAS imbrication technique is the most common traditional facelift technique that was designed to deal with the excess fat and lax skin of the lower face and neck due to aging. It can be considered an early modification form of deep plane facelift, which is a technique to treat aesthetic problems in the mid-face areas as well as deep nasolabial folds and is mainly performed on patients in their 40’s and up.
According to New York plastic surgeon Our doctor, the SMAS face lift is the subtle method that allows the surgeon to reposition skin and correct the jaw line, neck line, skin fat and laxity. This technique is limited and cannot create a massive change in the appearance of the nasolabial folds and/or the malar fat pad (the upper cheek region).