Facelift / SMAS Lift

What You Should Know

A facelift, including the SMAS (Superficial Musculo-Aponeurotic System) lift, is a surgical procedure aimed at reducing visible signs of aging in the face and neck. The SMAS lift specifically targets the deeper layers of facial tissue and muscle, tightening and repositioning them for longer-lasting and more natural-looking results. This procedure smooths wrinkles, lifts sagging skin, and improves facial contours, restoring a youthful and refreshed appearance. Recovery typically involves some swelling and bruising but results can last for many years.

What is a Facelift?

A facelift, or rhytidectomy, is surgery that minimizes visible signs of aging in the face and neck. It tightens loose skin, erases deep wrinkles, repositions facial fat, and rejuvenates a more youthful contour—without altering your natural expression.

What is a SMAS Facelift?

The SMAS lift is a more modern and permanent facelift method. SMAS stands for the Superficial Musculoaponeurotic System, a subsurface layer of tissue that provides facial support. Instead of tightening the skin only, a SMAS facelift elevates and repositions this deeper layer for natural, long-lasting results.

Who Is a Good Candidate for a Facelift?

  • Have sagging cheeks, jowls, or deep nasolabial folds
  • Notice loose skin or “turkey neck” along the jawline and neck
  • Are in good overall health and don’t smoke
  • Have realistic expectations regarding results
  • Typically best suited for people in their 40s to 70s, depending on skin health and desired outcome

How Is a Facelift Different From Fillers or Non-Surgical Procedures?

Injectables and skin-tightening devices provide temporary, mild enhancement for early aging. A facelift is a surgical option for moderate to severe sagging and volume loss, offering dramatic and long-lasting results that non-surgical treatments cannot provide.

What Areas Does a Facelift Treat?

  • Midface (cheeks)
  • Lower face (jawline, jowls)
  • Neck (loose skin, muscle bands)

Note: For the upper face (forehead, brows, eyelids), complementary procedures such as brow lift or blepharoplasty may be recommended.

Will I “Look Pulled” or Artificial?

Not if you have a properly done SMAS facelift. The technique lifts the deeper tissues rather than just tightening skin, preventing an overdone or “windblown” appearance. The result is a rested, refreshed look that still looks like you.

What Kind of Anesthesia Is Used?

Facelift surgery is most commonly done under general anesthesia or local anesthesia with sedation, depending on the procedure complexity and patient preference. Your surgeon will advise the best option during your consultation.

How Long Does a SMAS Facelift Take?

The procedure typically takes 3 to 5 hours, depending on the level of correction and whether other procedures (like neck lift or eyelid surgery) are performed simultaneously.

What Is the Recovery Time for a Facelift?

  • Most patients can return to light activities in 7–10 days
  • Swelling and bruising peak around days 2–4, then gradually resolve
  • Return to work usually happens within 2 weeks
  • Full physical activity can resume in 3–4 weeks
  • Final results develop over 2 to 3 months as swelling subsides

Where Are the Incisions Made? Will There Be Scars?

Incisions are usually discreetly placed:

  • Along the hairline
  • Around natural folds of the ear
  • Sometimes under the chin for neck work

Skilled surgeons place incisions to minimize visibility, and scars fade significantly over time—often becoming nearly invisible.

How Long Do Facelift Results Last?

While aging continues, SMAS facelift results typically last 10 to 15 years. Many patients find they look younger than their age long after the procedure.

Are There Risks or Side Effects?

  • Swelling, bruising, and temporary numbness
  • Hematoma (blood collection under the skin)
  • Infection or scarring
  • Rarely, facial nerve injury or asymmetry

Choosing a board-certified, experienced plastic surgeon greatly reduces these risks.

Is a Facelift Worth It?

For many, yes. A facelift offers dramatic, long-lasting correction of facial aging, boosting confidence and restoring a youthful appearance—especially when non-surgical treatments are no longer effective.

Ready to Reclaim a More Youthful You?

If you’re considering a facelift or SMAS lift, schedule a consultation with an experienced surgeon to explore your options, review before-and-after photos, and create a personalized treatment plan.

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