What Is a SMAS Rhytidectomy?
SMAS stands for superficial (S) musculo (M) aponeurotic (A) system (S), a fibrous layer of tissue that connects the muscles and facial structures under the skin in the lower face and upper neck. This is the exact area that a facelift surgery addresses – the sagging skin above the SMAS is tightened, and the excess skin is removed. With a SMAS rhytidectomy or facelift, this group of tissues is repositioned higher on the face with the skin for a more natural and lasting lift.
Traditional facelifts that only address the skin and not the SMAS and other facial structures tend to look “plastic” or fake. The skin is stretched and tightened, but the muscles and tissue underneath are still drooping. With a SMAS facelift, the skin and muscle tissue are moved together to create a realistic version of a more youthful face. The definition of the jawline is improved, and the more youthful curvatures of the lower face are achieved. Not only does a SMAS facelift look more natural, but the results can also last for many more years than tightening the skin alone.