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.

Plicated SMAS Facelift Overview - Everything You Need to Know

The Skinny

Plicated SMAS Facelift
avg. recovery
18 days
Is permanent
Surgical Procedure
$10000 - $15000

About the Procedure

Last Updated: 08.05.2021

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.


Plicated SMAS Facelift addresses concerns such as:

Recovery Notes

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.

Ideal Candidate

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

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.


  • Less dissection
  • Quicker procedure
  • Shorter recovery


  • Less permanent
  • Invasive
  • Visible scars

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