High SMAS Facelift

What is a High SMAS Facelift?

The technique called High SMAS, is considered as the technique of facial rejuvenation with better long-term results, the SMAS (superficial muscle-aponeutotic system) refers to a very resistant layer of connective tissue that covers the muscles of the face and continues towards the neck fusing with the platysma muscle.

This layer of tissue is attached to the subcutaneous fat, and the fat to the skin, by mobilizing these three layers we can reposition the tissues in the place they occupied during the juvenile stage.

As a result of the natural aging process, the facial skin loses elasticity in the SMAS membrane layer, and the skin often begins to sag in the cheeks and along the jaw bone.  The face develops a square appearance and loses its youthful oval appearance.  This loss of elasticity and increasing skin laxity (looseness, sagging) can result in aesthetically unappealing developments that can substantially age one’s facial appearance, such as: a double chin, fleshy jowls, or prominent nasolabial folds (creases running from the nose to the angle of the mouth).

The High SMAS facelift allows elevation of the SMAS tissues at a very high level, much higher than the must-stop-at-the-cheekbone approach we were all taught in our residencies.  It’s simply not enough to elevate the SMAS just to the cheekbone in the majority of patients.

This allows elevation of the outer part of the cheekpad.  It is complemented nicely by the USIC (Ultrashort incision cheeklift) in elevating the cheeks.

Benefits of High SMAS vs traditional facelift

The traditional or classic technique employed during facelift surgery only addresses the problem of skin laxity in the superficial skin layers, and often produces a tight, pinched look. The SMAS facelift lifts the face from the deepest layers, and pulls upward rather than back, which provides a more natural-looking result and decreases the potential for an excessively pulled back appearance.

The High SMAS facelift is a game-changing technique that is revolutionizing the field of facial plastic surgery by improving upon the SMAS procedure in the following ways:

At Perfection Clinic located in Cancun, Mexico , we are very excited to offer this procedure, and are pleased to say that it is now generally offered to patients.

High SMAS Facelift procedural details

High SMAS facelifts are performed under local anesthesia or sedation, and may take several hours (depending upon the complexity of your surgery). During the procedure, Dr. Valdez will utilize incisions made along the lateral hairline to free the SMAS layer from the overlying skin and subcutaneous fat layers, as well as from its underlying attachments.

He will then tighten and lift the 3-layer unit of facial and neck skin together in an upward direction, placing the tension on the underlying SMAS layer. At this point in the surgery, Dr. Valdez will excise any surplus fat or loose skin, and will use sutures to close the surgical incision. Patients can expect to experience some degree of bruising, swelling, numbness and discomfort for the first 1-2 weeks after surgery, and will need to limit physical activities until they are sufficiently healed.

Critically important, the skin will not go upward in a 1990’s fashion.  This allows Dr. Valdez to avoid one of the many stigmata that produce a ‘windswept’ appearance.

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