A SMAS facelift is one of the most advanced surgical techniques for addressing facial aging. If you’re curious about how it works, Dr. Scott Spiro, M.D., F.A.C.S. of Spiro Plastic Surgery explains why it’s preferred over older methods, and how his approach can create natural-looking meaningful facial rejuvenation results.
What Is a SMAS Facelift?
A SMAS facelift is a surgical facelift technique that targets the Superficial Musculoaponeurotic System (SMAS) – a deeper layer of muscle and connective tissue beneath the skin. Instead of just tightening skin, my approach repositions and strengthens the SMAS layer, which yields longer lasting and more natural results.
Key features of a SMAS facelift:
- Repositions and tightens deeper facial tissues
- Reduces jowls and improves jawline definition
- Treats volume loss through fat grafting if needed
- Avoids overly tight, “pulled” skin results typical of older techniques
Many surgeons now consider SMAS-based approaches, especially deep plane or composite techniques, the gold standard in facelift surgery.
How Is a SMAS Facelift Different from a Traditional Facelift?
A traditional “skin only” facelift primarily pulls the skin tighter to reduce wrinkles and sagging. In contrast, a SMAS facelift works below the skin’s surface to reposition deeper structures that contribute to aging.
What sets a SMAS facelift apart is:
- Depth of correction: Addresses muscles and connective tissue, not just skin
- Natural outcomes: Looks less “pulled” or artificial
- Longevity: Provides longer-lasting results compared to superficial lifts
My specific technique – a Deep Plane SMAS Composite Facelift & Neck Lift – lifts the muscle, deep fat, and tissue of the face and neck together while independently adjusting the skin. This method allows for multi-directional vector correction and truly personalized results.
Why Should I Consider a SMAS (Deep Plane) Facelift?
A SMAS or deep plane facelift matters because it addresses the root causes of facial aging rather than just masking them. As we age, skin loses elasticity, underlying tissues weaken, and fat distribution changes, causing jowls, sagging cheeks, and neck laxity. My Deep Plane SMAS technique tackles these deeper concerns.
Benefits include:
- More youthful jawline and neck angle
- Improved facial proportions
- Reduced deep creases around the nose and mouth
- Enhanced volume in cheeks and under-eye areas (when combined with fat grafting)
The result is a refreshed look that appears natural, not “overdone.”
How Does Dr. Spiro Perform the SMAS Facelift?
In my practice at Spiro Plastic Surgery, I use the Deep Plane SMAS Composite Facelift & Neck Lift, and I often combine the procedure with fat grafting and other facial procedures, such as blepharoplasty (eyelid surgery) or brow lift, when appropriate.
Procedure highlights:
- Anesthesia is administered for comfort
- SMAS and deeper tissue layers are elevated and repositioned
- Excess skin is trimmed, and underlying contours are refined
- Fat grafting can restore lost volume in targeted areas
- Careful incision placement minimizes visible scarring
This comprehensive plan treats the face and neck as a unified aesthetic area, which yields smoother lines, defined contours, and a more youthful appearance without unnatural tightness.
Who Is a Good Candidate for a SMAS Facelift?
Good candidates typically have:
- Noticeable sagging around the lower face and neck
- Jowls and loss of jawline definition
- Deep nasolabial or marionette lines
- Good overall health and realistic expectations
Ideal candidates also:
- Are nonsmokers or willing to quit pre- and post-surgery
- Are prepared for a recovery period of several weeks
- Desire a natural, long-lasting rejuvenation
Because every face ages uniquely, I conduct a thorough consultation to design a personalized plan and discuss whether a SMAS facelift is the best option for your goals.
What Can I Expect in Recovery?
Recovery varies, but most patients can return to routine activities within 3 to 4 weeks, with continued improvement over several months.
Typical recovery factors:
- Swelling and bruising are common initially
- Light activity resumes within a few weeks
- Full results continue to refine for 3 to 6 months
My team helps support patients throughout their recovery with detailed care instructions and follow-ups to ensure optimal results.
How Long Do the Results Last?
A SMAS facelift provides long-lasting rejuvenation by repositioning deeper structures rather than simply tightening skin. While natural aging continues over time, most patients enjoy refreshed, youthful contours for many years.
Maintaining skin health with professional skincare, sun protection, and occasional non-surgical treatments as recommended by myself or my expert team can help prolong results.
How Do I Get Started?
If you’re considering a SMAS facelift or want a deeper look at your options:
- Schedule your private consultation
- Explore facelift before & after photos
- Learn about combining facial procedures for comprehensive rejuvenation
Visit Spiro Plastic Surgery to learn more about my approach to Deep Plane SMAS Composite Facelift and Neck Lift to begin your journey toward natural, beautiful renewal.
