Plicated SMAS Facelift
The plicated SMAS facelift is a version of the SMAS facelift that differs in how the SMAS suspension is executed. The procedure aims to flatten the nasolabial folds and to reduce the appearance of aging by treating sagging cheeks and jowls. Facelifts also remove excess skin and tighten muscles underneath the skin while also resetting skin into a higher position, allowing for a tighter, younger look.see all Face procedures
Plicated SMAS Facelift
- avg. recovery
About the Procedure
The plicated SMAS facelift is a type of facelift surgery that addresses the inevitable signs of aging by flattening the skin folds, treating sagging cheeks and jowls, removing excess skin, tightening underlying muscles and resetting skin vertically into a lifted position. The result is a reduction in facial and neck dropping and sagging, leading to a younger, more refreshed aesthetic. As opposed to the SMAS facelift, the plicated SMAS facelift differs in the execution of the suspension of the SMAS muscle. The plicated SMAS facelift procedure costs range from $10,000-$15,000. To begin the procedure, an incision is made in the temporal hairline, exactly like the SMAS facelift. This incision is also extended into the ear and into the hair. However, the plicated SMAS differs at this point by avoiding incision and undermining of the SMAS flap. Instead, the surgeon folds the SMAS flaps over itself and attaches it together with the use of sutures. These sutures will pull the SMAS into three directions, creating the effect of the lift. At this point, any excess SMAS is removed. Excess skin is then trimmed, the wound is then closed, and a facelift dressing is applied to the patient.
Facelifts aim at making the candidate rejuvenate their face for a more youthful look. By "lifting" sagging cheeks and jawline skin, facelifts remove excess skin and tightens underlying tissue and muscle. Used in correcting midface sagging, marionette lines, jowls and double chins.
What to Expect
The plicated SMAS facelift is a version of the SMAS facelift that differs in how the SMAS suspension is executed. Here is a quick guide for what to expect before, during, and after a plicated SMAS facelift.
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 4 weeks before and after surgery
- No alcohol 2 days prior
- Do not eat or drink for at least 6 hours before
- Local anesthesia with sedation
- Incision is made in the temporal hairline and extended to the ear
- SMAS flap is folded over itself and attached with sutures
- Excess SMAS muscle is removed
- Excess skin is trimmed
- Sutures to close
Patients will be given a neck support that should be worn for 24 hours a day for the first week in recovery then 12 hours per day for the next 7-14 days. In addition, it is recommend that patients sleep slightly upright and on their backs to minimize edema for the first 7-10 days. Patients should not force movement of the neck, which remains tight for as many as 3 weeks.
The ideal candidate for a plicated SMAS facelift is middle aged with sagging cheeks and jawline skin.
Not Recommended For
A plicated SMAS facelift is not recommended for patients who are regular smokers, have a history of keloid formation, bleeding abnormalities, or other conditions that contribute to hematoma formation and poor wound healing
Side effects from a plicated SMAS facelift may include numbness, tingling, tightness or burning, swelling, bruising, hairloss, facial nerve injury, hematoma formation, necrosis of the skin flap, scarring, edema, and ecchymosis.