What Is a SMAS Facelift?

The SMAS facelift is the most common facelift technique. Here is an explanation of what it involves.

The SMAS facelift β€” named after the Superficial Musculoaponeurotic System, the layer of muscle and tissue below the skin β€” is the most widely performed facelift technique. It tightens this deeper layer for longer-lasting, more natural results.

  • What is the SMAS?
  • The SMAS is a layer of connective tissue and muscle that covers the face
  • It is the layer that surgeons lift and tighten during a facelift
  • By tightening the SMAS, the skin is redraped, creating a natural lift

How it is performed:

  1. Incision: Around the ear, extending into the hairline
  2. Skin elevation: The skin is carefully separated from the SMAS layer
  3. SMAS tightening: The SMAS layer is tightened with permanent sutures
  4. Skin redraping: The skin is repositioned over the tightened SMAS
  5. Excess skin removal: Loose skin is trimmed
  6. Closure: The incision is closed
      • Advantages:
      • Long-lasting results (10–15 years)
      • Natural-looking β€” avoids the "windswept" look
      • Addresses the structural cause of sagging
      • Can be combined with neck lift or other procedures

      Who It Is For

      • The SMAS facelift is appropriate for:
      • Patients with sagging cheeks and jowls
      • Those seeking a comprehensive facelift
      • Patients who want natural, long-lasting results

      Clinical Guidance

      The SMAS facelift tightens the underlying muscle layer of the face, providing natural-looking, long-lasting results. It is the gold standard of facelift techniques and is appropriate for most patients seeking facial rejuvenation.