What to Know About SMAS Lifting


A Facelift, also known as rhytidectomy, is a surgical operation intended to minimize the indications of aging in the face and neck. By smoothing out the nasolabial folds, which are patches of skin that form deep wrinkles between the neck and upper lip, the SMAS Facelift can produce a more youthful and toned appearance. A SMAS Facelift tackles the inevitable sagging of the cheeks and jowls that comes with aging.

What is SMAS Facelift?

The superficial musculoaponeurotic system (SMAS) is the layer of tissue or membrane that connects the muscles of the face and neck to the skin. It consists of muscles, collagen, fibers, and fat. Your skin and the SMAS lose suppleness as you age.

These changes lead to sagging cheeks around the jawline, extra skin, and frequently a “double chin.” Additionally, cheek fat will sag forward, increasing nasolabial folds or creases that reach from the sides of the nose to the mouth (also causing smile or laugh lines).

A SMAS Facelift is an advanced Facelift technique that specifically addresses the lower two-thirds of the facial region that produces long-lasting facial cosmetic enhancements.

By removing extra skin tissue and modifying the SMAS layer, the SMAS Facelift achieves a tighter, smoother, and more youthful appearance. By tightening the muscle, eliminating fat, and removing extra skin from the lower two-thirds of the face, a SMAS Facelift counteracts apparent indications of aging. Approximately 10 to 15 years following the treatment, the majority of patients continue to look 10 to 15 years younger; nevertheless, the effects of aging begin to manifest again.

What to Know About SMAS Lifting

[Photo from Unsplash]

What Does a SMAS Facelift Correct?

Muscles are tightened, and extra skin and fat are removed during the operation in order to address the following indications of aging:

  • Hollow cheeks
  • Nasolabial creases (lines extending from your nose to the corners of your mouth)
  • Sagging skin and fat below the chin and jawline
  • Jowls in the area of the neck
  • Facial sagging in the middle region
  • Sagging cheek fat

What to Expect in SMAS Facelift Procedure

The SMAS Facelift is performed under general anesthesia on an outpatient basis and may take several hours. Because it is less intrusive than a typical Facelift, the recovery period will be shorter.

The surgeon will make an incision around your temple and above your hairline, stretching through your skin’s natural creases and curving behind your ears. This incision approach will ensure that your scar is discretely concealed behind your hairline and inside your skin’s natural creases.

After making the incision, the surgeon will lift and rearrange the tissue and muscle beneath the skin of the middle to lower face and neck. Excess skin is removed to achieve a more youthful appearance, and the remaining skin is tightened.

After your SMAS Facelift, you may have some slight bruising, swelling, and soreness. During the first several weeks of recovery, this will lessen progressively. Within two to three weeks, the majority of people may resume normal activities and return to work. However, it would be best if you waited until you had fully recovered before engaging in an intense activity again.

Pros and Cons

The SMAS method allows the Facelift surgeon greater discretion while rebuilding the underlying tissue, allowing for a more individualized surgery!

This Facelift procedure reconstructs a specific facial shape. Additionally, it does not need skin stretching! Instead, a subtle redraping of the face skin accentuates the new facial features. In comparison, deep plane Facelifts might result in an unappealing “wind tunnel” appearance.

The primary advantage of the SMAS Facelift over the deep plane lift is that it is less invasive. Accordingly, it has a shorter recovery period and much lower costs.

However, if you want to produce an overall revitalized appearance and restore facial volume, many surgeons simultaneously perform fat grafting to the cheeks.

Final Thoughts

There are deep lines, drooping cheeks, a double chin, jowls, and noticeable eye bags on the face. Signs of aging are never very thrilling, and it is understandable to desire a more youthful appearance. Facelifts are effective facial rejuvenation procedures that can remove up to ten years off the appearance of the face. It is a rejuvenating procedure that may restore your youthful appearance.

Seoul, South Korea, is among the top ten cities for cosmetic operations. Following the partial cancellation of COVID-19 mask regulations, the demand for face surgery has surged significantly. If you want superior service and patient care assurance, check out your options in Korea.


The best candidate for a SMAS Facelift is men and women of all ages who experience loose, sagging skin on the face and neck. It is preferable to be a nonsmoker and free of any medical issues hindering wound healing.

A SMAS Facelift is not advised for those with a history of keloid scarring, irregular bleeding, or other medical issues.

The cost of an SMS makeover might range from $5,000 to $12,000. Your SMAS Facelift cost will depend on your surgeon's level of experience, the location of their clinic, and the specifics of your operation. Facelifts are elective cosmetic procedures that are not covered by health insurance.

To paint you a picture of the costs of different Facelifts, you may refer to the table below:


Type of Facelift

Average Cost

Full SMAS Facelift

$5,000 to $12,000

Deep Plane Facelift


Mini Facelift

$3,500 to  $8,000


Depending on the complexity of the surgery, a SMAS Facelift may need several hours to complete. You should be able to return home on the day of the surgery.

Recovery after a SMAS Facelift is relatively swift. The patient can often take a shower on the first postoperative evening. The front sutures are removed on day five, while the rear sutures are removed on day eight. Typically, even the usage of painkillers is modest.

With each passing day, the patient's level of activity increases. Once every week for the first five weeks, the patient will need to see the doctor.

The Superficial Musculo Aponeurotic System (SMAS) Facelift addresses the facial skin and SMAS musculature as two independent parts. In contrast, a deep plane Facelift is performed at a deeper tissue level and elevates the skin and SMAS together as one unit.

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