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SMAS Facelift

Targeting Deeper Facial Support for Natural, Long-Term Results

An SMAS facelift is a surgical technique that targets the deeper facial support structures rather than tightening the skin alone. The SMAS layer is a key structural layer involved in facial ageing. By repositioning this layer, the procedure allows for controlled repositioning of the facial tissues, particularly in the lower face and jawline.

What the SMAS Layer Is

The SMAS is a supportive layer beneath the skin that contributes to facial structure, particularly in the lower face and jawline.
Surgical techniques that address this layer allow for:

Repositioning of deeper facial tissues

Structural support of the lower face

Avoidance of skin-only tightening

Who May Be a Suitable Candidate

An SMAS-based approach may be considered in patients who present with:

Jowling and lower face laxity

Concerns relating to structural support rather than skin laxity alone

Features consistent with early to moderate facial ageing

A full assessment is required to determine whether an SMAS, deep plane, or alternative approach is most appropriate.

SMAS vs Deep Plane vs French Lift

SMAS Facelift:SMAS Facelift: targets the SMAS support layer to allow controlled repositioning of the facial tissues

Deep Plane Facelift:Deep Plane Facelift: involves dissection within a deeper anatomical plane, allowing repositioning of the facial tissues as a single unit

French Lift:French Lift: a more limited technique, typically considered in cases of early facial laxity

Technique selection is based on individual anatomy, degree of ageing, and overall clinical assessment.

Aesthetic Considerations

Facelift surgery is planned with the aim of restoring facial structure and addressing changes associated with ageing. Considerations may include:

Definition of the jawline and lower face

Facial balance and proportion

Preservation of natural expression

Consultation and Planning

Consultation and surgical planning involve a detailed assessment and may include:

Facial assessment and discussion of concerns

Evaluation of skin quality and the neck

Consideration of combined procedures where indicated

Discussion of recovery and expected outcomes

Recovery Overview

Swelling and bruising can occur in the early stages of recovery and typically improve over time. Changes in the tissues continue to settle as healing progresses.

Risks and Considerations

Risks may include bleeding, infection, scarring, asymmetry, nerve injury, and prolonged swelling. These risks will be discussed in detail during consultation.

Book a Consultation

If you are considering a SMAS Facelift and would like personalised guidance, a private consultation with Dr Nizar Hamadeh will help you understand your options and decide on the most appropriate approach.

Consultations are available forUK-based and international patients, including in-person and virtual options where appropriate.

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