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SMAS facelift technique

SMAS Facelift Technique - Nordesthetics Clini

The extended superficial musculoaponeurotic system (SMAS) technique for facelifting addresses and corrects many of the problems that occur with facial aging. 1 Issues and anatomic changes addressed during this type of facelift procedure include skin laxity (secondary to loss of elasticity), facial fat descent, facial deflation, and radial expansion (facial fat no longer adherent to the facial skeleton tends to fall radially away from the face) An SMAS facelift is a type of facelift surgery (rhytidectomy) that lifts sagging skin, repositions the fat pads in the cheeks, and tightens the underlying muscles of the mid- and lower face and neck. It also removes excess skin The 'high SMAS' face lift technique, Aesthetic Surgery 2002;22 (5):481-486, with permission of Elsevier. Begin dissecting the SMAS in the cheek just anterior to the tragus leaving a cuff for later suturing. Maintain the upper lateral corner of the SMAS at the root of the helix to serve as a point of later fixation

What is a deep plane facelift? + More innovations to take

  1. SMAS facelift: In an SMAS facelift, the surgeon utilizes a true lifting technique, rather than tightening the skin alone. The SMAS layer of tissue sits deep within the face, between the subcutaneous fat and the muscles
  2. Facelift Lingo. SMAS vs. Deep Plane You might hear terms like SMAS lift and deep plane technique, but not understand what they mean. The SMAS (superficial muscular aponeurotic system.
  3. Abstract The high SMAS face lift technique suspends the cheek mass securely, leaving the skin and subcutaneous mass attached to the SMAS without placing the skin under greater than normal tension. The author provides the surgical steps
  4. ing and incising along a line extending from the tragus to lateral canthus and dissecting the SMAS sufficiently to induce movement of the lateral nose and the oral commissure with traction on the SMAS. The SMAS is suspended from the deep temporal fascia using 4-0 Mersilene sutures
  5. The SMAS Facelift Technique SMAS is short for superficial musculo-aponeurotic system, which is the thin sheet of muscle and connective tissue deep in the subcutaneous fat in the mid and lower face. The SMAS facelift technique targets both sagging skin and the underlying muscular-aponeurotic structures of the face
  6. A deep plane facelift involves tightening the SMAS layer (often called the muscle layer or cheek muscle on the internet)
  7. Surgeons developed the SMAS technique as a less invasive alternative to traditional facelift surgery, and it represented a significant advance aesthetically, producing results that appeared more natural. The procedure involves making incisions at the temples above the hairline, so they're concealed

What Does SMAS Stand For And How Does It Relate To The Facelift Technique? SMAS is an abbreviation that stands for superficial musculoaponeurotic system. The name is chosen for a specific reason, as this type of procedure addresses the underlying musculature of the face In the 1960s, the facelift evolved to include the SMAS, or the superficial musculoaponeurotic system, which is the underlying connective tissue and muscles below the skin. This layer is responsible for your facial movements and expressions, and a facelift that addressed this layer showed much more long-term and rejuvenating results While there are many nuanced techniques for facelift surgery, the most distinguishing one is in how the SMAS layer is managed. The benefits of using the SMAS layer to increase the aesthetic benefits of facelift surgery as well as its duration of effect are well known The SMAS rhytidectomy, also known as an SMAS facelift, is a surgical procedure that targets the lower two-thirds of the face. It is performed to address sagging skin, excess fat, jowls, and loss of volume in the cheeks. It is less invasive than a regular facelift, which targets the superficial skin of the face, and recuperation is faster

What You Need To Know About The Latest SMAS Facelift

Facelift surgery tightens and restores elasticity to these tissues with the SMAS facelift technique—a method that allows for complete facial rejuvenation, particularly in the lower third of the face. During the SMAS facelift, Dr. Ackerman carefully dissects the SMAS layer from the surrounding tissue layers and repositions it in the proper. Answer: SMAS FACELIFT. A well performed facelift includes tightening of the SMAS tissue. There are different SMAS tightening techniques for lower face and neck rejuvenation. I have performed well over 2500 facelifts and found that Double C plication technique will create the most natural and long lasting results

Super-high superficial musculoaponeurotic system (SMAS) suspension and tailor tack plication are powerful facelift tools used in cases of primary facial rhytidectomy The SMAS facelift lifts the face from the deepest layers, and pulls upward rather than back, which provides a more natural-looking result and decreases the potential for an excessively pulled back appearance. The High SMAS facelift is a game-changing technique that is revolutionizing the field of facial plastic surgery by improving upon the. All included studies: (1) described a SMAS facelifting technique categorized as SMAS plication, SMASectomy/imbrication, SMAS flap, high lateral SMAS flap, deep plane, and composite; and (2) reported the number of postoperative complications in participants

SMAS Facelift Overview: Cost, Recovery, Before & After AEDI

The SMAS Facelift The general SMAS facelift, still considered one of the best types of facelifts—the gold standard, if you will—refers to the technique the surgeon uses that addresses the top layers of the skin—three top layers of fatty tissue, to be exact. SMAS, which stands for Superficial Muscular Aponeurotic System refers to the. These techniques thus lack the versatility of a differential approach to skin and SMAS that addresses these structures separately. 13, 14 Various strategies within this realm have been discussed, including SMAS plication, SMASectomy, and dual-plane facelift techniques that elevate and translocate separate skin and SMAS flaps These can be in the form of chemical peels, dermabrasion, microdermabrasion, filler substances including autogenous, homogenous, or synthetic material, and laser resurfacing (both ablative and.. Author : Philippe LevanThe author shows how he simply performs SMAS Facelift without any special surgical instrument

The SMAS is a thin but strong soft tissue layer that lies under the skin by also lines the underlying facial muscles. SMAS Techinque: Explained. The SMAS layer is used to not only pull and tighten the deeper layers which include the muscles, tendons, and ligaments but also allows an expert facelift surgeon to pull the skin layer without undue. The SMAS facelift technique ensures that the cheek mass is suspended and secured without separating the skin from the subcutaneous mass. Essentially, Dr. Knowling goes underneath the SMAS muscles to lift and tighten them. The SMAS facelift provides a younger, firmer, and smoother-looking face for the patient One such example of these improved facelift methods is the superficial musculoponeurotic system (SMAS) facelift technique. The SMAS Facial Structure. The SMAS is a series of fibrous tissue connections that attach the deeper facial structures, such as the muscles, through the fat layer to the upper dermal and epidermal layers of the skin SMAS facelift technique provides natural look that lasts. April 1, 2006. The skin of the cheek and anterior neck is made up of an interconnected three-layer unit. Chicago - For John Owsley, M.D., the key to a successful, long-lasting facelift lies in the underlying anatomical details of the face. Dr. Owsley, an aesthetic plastic surgeon who.

The LiteLift™ is a type of modified SMAS facelift techniqu

Mini-Facelift vs. Traditional Facelift. The common method used for a traditional facelift requires surgery beneath the SMAS layer, exposing nerves to potential injury. The SMAS plication technique used during a mini-facelift is equally effective, supporting the elevation of the SMAS layer, without the possible increased risk of nerve injury. The SMAS (labeled musculo-aponeurotic) layer is mobilized in SMAS and Deep Plane facelifts. Extended SMAS facelift. This technique takes the additional step of actually making an incision and releasing the SMAS from underlying structures. There is a gland under the SMAS layer that is a safe surgical layer to dissect SMAS (Superficial Musculoaponeurotic System) SMAS is a comprehensive facelift technique that involves restoring your youthful appearance by tightening and remodeling the underlying facial contours. Excess skin can also be removed using this approach. In general, SMAS lifting tends to produce a very natural outcome for our Kenilworth, IL patients Facelift techniques: the differences explained . Facelift techniques vary from surgeon to surgeon but there are distinct differences in the techniques and in the results of these differing techniques.. It is commonly regarded by well-trained facial plastic surgeons that are comfortable and experienced with performing surgery within the deeper layers of the face, that a better, very natural. High SMAS Facelift Technique. High SMAS facelift is a deep face lifting, which is able to turn the hands of the clock for 10-15 years ago! Modern plastic surgery SMAS facelift uses as the most advanced method of full facelift. During this procedure, not only the skin is tightened, but also dense tissues lying deep under the skin - the so.

Of all modern facelift techniques, the SMAS technique is among the most consistently successful and time tested. Also known as the deep plane facelift technique, the SMAS technique involves the manipulation of both the facial skin and the underlying SMAS tissues, which are lifted both upward toward the brow and backward toward the ear SMAS Facelift. The SMAS (Superficial Muscular Aponeurotic System) is a fascial layer that is the strong, 'load bearing' tissue layer in the face. SMAS Plication and SMAS Imbrication techniques are those where superficial dissection is performed and sutures are placed to 'pull' or 'support' the SMAS layer Figure 2 (Extended SMAS technique for access to the midface and cheek). HIGH SMAS TECHNIQUE. Another SMAS facelift surgery technique popularised by the gifted Texan surgeon Fritz Barton, similarly yields powerful mid cheek results, whilst addressing the rest of the face and when combined with neck lift and eyelid procedures, produces excellent long lasting natural outcomes SMASectomy Facelift. To eliminate the risk of contour inconsistencies, today's cosmetic surgeons generally rely on variations of a facelift technique known as SMASectomy, which utilizes both the mobile and immobile portions of the SMAS. Over the lateral portion of your face, closer to the ear, the SMAS tends to be stiffer, and, as you move.

20 Facelift: The extended SMAS technique Plastic Surgery Ke

Modern facelift techniques. Less extensive versions of a facelift, such as an S-lift, mini facelift, neck lift or endoscopic facelift may be considered for those patients who would like to receive longer-term results in certain areas, but do not require a complete facelift to achieve their goals SMAS facelift. Currently SMAS facelift is the most famous and most frequently performed technique. It is indicated by patients under 45 years of age, but can be performed at an older age. SMAS is a muscular-aponeurotic system, it covers fat tissue and keeps the muscles of the face in a normal position Most facelifts are variations on the SMAS-suspension technique. Variations in the plane of dissection for the face lift, or in the length and location of the scar are common. The conventional facelift involves a scar that is shaped like a U or the Greek letter omega, around the front and rear of each ear, and has a short extension into the. The SMAS lift differs from a deep plane lift in that no attachments underneath the SMAS are released. The SMAS facelift costs an estimated $5,000 to $12,000. Short Scar Lifts. The short scar facelift is an umbrella term for several facelifts that involve abbreviated scars. One such lift involves an S-shaped incision at the temple or in front of. During a facelift, the SMAS should be released and adjusted separately from the skin. Skilled plastic surgeons use several SMAS strategies to give the most natural and long-lasting results, and the best technique is determined by the patient's personal anatomy. The SMAS can be cut and then lifted and sutured to a stronger area like the bone.

SMAS Facelift: What You Need to Know RealSel

  1. The SMAS facelift techniques that had the highest rate of temporary facial nerve injury were the High Lateral SMAS facelift and the Composite facelift, at 1.85 %, but these injuries resolved spontaneously as well. Deep Plane Facelift and Face Lift Complication
  2. In this video we can watch the Face Lift Surgery using High SMAS Facelift Technique performed by Dr Pentyala at his New You Cosmetic Surgery Clinic in Bang..
  3. Although many different facelift techniques have been described, most contemporary techniques differ with regard to how the superficial musculoaponeurotic system (SMAS) is mobilized and suspended and the impact on specific facial tissues, operative time, technical complexity, and risk of facial nerve injury [3, 4]. Currently, there is a general.
  4. Blog Why the SMAS Facelift Is Better Than a Skin-Only Facelift. Posted March 30, 2017 in Facelift, Skin-Only Facelift, SMAS Facelift, Uncategorized. Facelift surgery is a delicate process. Surgeons must be careful with their technique so that they produce natural-looking results that can withstand the test of time

Presenter: Andrew A. Jacono, MD. Includes anatomic description of the fixed and mobile SMAS. Unlike lateral SMAS facelift flap procedures (high or low), the extended deep plane facelift enters the sub-SMAS plane medially at the mobile SMAS giving it a biomechanical advantages when lifting the anterior midface and jowl soft tissue ptosis Short-Scar Facelift. A short-scar facelift is a SMAS facelift performed through a minimal incision. The technique is used to elevate and reposition the deeper facial soft-tissue layers. It is indicated for individuals with less skin redundancy or age-related changes in the neck. The term 'short-scar' facelift doesn't describe a specific. EXTENDED SMAS FACELIFT TECHNIQUE. The key to a non-surgical appearing facelift is avoid skin tension, and as an alternative to skin tension to reconstruct the internal anatomy beneath the skin, shaping the face through the repositioning of the deeper soft tissues and muscles. The technical term of the method is the Extended SMAS Technique. An important variation of the SMAS plication technique is the minimally-invasive cranial suspension (MACS) facelift described by Tonnard et al in 2007. This approach utilizes a short incision, confined to the preauricular region and the temporal hair tuft, through which three purse-string sutures are placed that elevate the jowls, the central.

The High SMAS facelift technique Plastic Surgery Ke

The deep plane facelift, which was popularized in the 1990s, is a technique that involves tightening the layers of the face simultaneously, rather than separately as in the case of the SMAS facelift. There are some benefits to the deep plane facelift including improved circulation to the skin, but both SMAS and deep plane facelifts have been. SMAS (superficial muscular aponeurotic system) is a layer of tissue present deep to the skin and subcutaneous tissue. certain authors believe that if you pull with sutures on deep tissue your vertical and posterior traction on tissues is stronger and lasts longer if compared to a skin only facelift. it is a popular technique developed in the late 70ies and popularized in the 90ies. yuo have to. The SMAS facelift is targeted towards the correction of the internal structure of the facial skin, thus yielding more natural-looking results as compared to the conventional facelift. The results last longer (as long as ten years or more) than those of the traditional facelift. The SMAS facelift is a highly accurate and safe procedure The specific definitions for each type of facelift technique were as follows. SMAS plication folds the SMAS upon itself and sutured it to itself to tighten it without any incision into the SMAS layer or undermining of the SMAS. SMASectomy involves the removal of a strip of SMAS and overlying fat, with direct suture closure between the 2 cut.

When you have been browsing facelift techniques, you have probably come across the SMAS facelift technique. The SMAS facelift is a specific technique used to manipulate the superficial muscular aponeurotic system, an area of musculature of the face.To learn more about the SMAS facelift, please refer to our information below It is for this reason that sub-SMAS facelift techniques are more risky than Skin-Only Facelifts. Existing Facelift Techniques. Skin Only Facelift. The very first facelift was performed in 1900s as a direct skin excision. In 1927 it was recognized that undermining the facial skin achieved a more effective lift, and the 'classic subcutaneous. Contraindications. Currently, with endoscopic and short-incision techniques, patients who have mild aging changes of the mid face but youthful lower face and neck areas gain satisfactory improvement. These patients are not candidates for a superficial musculoaponeurotic system (SMAS) facelift. Previous A Meta-Analysis of Complication Rates Among Different SMAS Facelift Techniques. Aesthet Surg J. 2019 Feb 15. . Rammos CK, Mohan AT, Maricevich MA, Maricevich RL, Adair MJ, Jacobson SR. Is the SMAS Flap Facelift Safe? A Comparison of Complications Between the Sub-SMAS Approach Versus the Subcutaneous Approach With or Without SMAS Plication in. SMAS facelift before and after creates natural facelift results that appear smooth and natural and not plastic as will be described below. Everyone who considers a facelift wants to look younger but does not want to like they had a facelift, and this can be avoided with SMAS facelift technique. SMAS Anatom

What Are The Latest Modern Facelift Techniques

Rather than pulling only the top layer of tissue—standard for traditional facelifts—SMAS technique elevates three layers of skin, avoiding the overly tightened appearance on some facelift patients. SMAS also deviates from the antiquated pull method of traditional facelift surgery High SMAS Facelift. A Superficial Muscular Aponeurotic System facelift is considered the gold standard facelift method among many cosmetic surgeons. The High SMAS facelift is an enhanced variation of this technique. The High SMAS facelift is a game-changing technique that improves upon the SMAS procedure in the following ways

The Truth About Modern Day Facelifts and What They Can D

The SMAS imbrication technique is the most common traditional facelift technique that was designed to deal with the excess fat and lax skin of the lower face and neck due to aging. It can be considered an early modification form of deep plane facelift, which is a technique to treat aesthetic problems in the mid-face areas as well as deep. The SMAS is then undermined further than the subSMAS facelift, enough for passive mobilization. The retaining ligaments are interrupted. Traction is again placed on the SMAS and the excess is excised or folded, then sutured. A cervicoplasty is usually performed. Deep Plane: An extended SubSMAS facelift that has minimal subcutaneous dissection

SMAS Face Lift Photos | Before and After SMAS Facelift

The SMAS lift is an advanced facelift technique that specifically addresses the lower two thirds of the facial region. By targeting the support layers of facial tissue, the SMAS facelift can achieve effective, long-lasting facial rejuvenation results. The superficial muscular aponeurotic system (SMAS) is one of the most important facial support. The SMAS technique is the most common technique used during facelift surgery. The SMAS technique, which stands for superficial musculo-aponeurotic system, offers our patients superior facelift results by making appropriate alterations to the underlying muscle layer as well as the outer layer of skin The authors' technique includes defatting the skin flap, typically up to 1 cm anterior to the tragus. Additionally, the SMAS flap is trimmed and sutured to rest approximately 1 cm anterior from the base of the tragal cartilage, helping to preserve the pretragal sulcus Most surgeons do not acknowledge a significant difference in results from the SMAS technique. Deep Plane Face Lift The deep plane system is a more invasive process that reshapes the whole face including the neck, brow and both upper and lower eyelids. By lifting the skin, facial tissues, muscle and fat all in one continuous section, deep plane.

Dr. Rodwell's preferred facelift technique involves undermining. With this method, the SMAS is loosened from it's attachments underneath so that the whole SMAS can be lifted as a unit and shifted into the position that provides the best lift and support for a very natural appearing facelift without excess tension on the skin The SMAS facelift consists of isolating and elevating this thin tissue over the facial muscles and transpose it upward. By doing that, it transmits the pull to the skin that is elevated at the same time. The benefit of this technique is that the tension of the pull is transmitted to the SMAS layer so the skin can be pulled with less tension

High SMAS Face Lift Technique Aesthetic Surgery

The outcomes of this procedure continue much longer than SMAS plication technique due to the stronger fixation of SMAS layer. This technique is relatively easier than complicated procedures such as DPFL and composite facelift. It is a simple technique with minimal SMAS dissection and predictable postoperative results The SMAS technique targets deeper layers of skin for the best, most natural-looking results. Who is a good candidate for a SMAS facelift? If you are in your 50s or older and have a realistic desire to turn back the clock, then you are probably a good candidate for Dr. Sofer's SMAS facelift surgery A wide variety of facelift techniques including sub-SMAS dissection, SMAS plication, and excision has been descr ibed. 9, 11, 13,[15][16][17][18][19]89,90 Although individual surgeons often adopt.

Mini Facelift: This procedure targets the mid-face and cheek area. SMAS Technique: The SMAS technique tightens the network of fibro-connective tissue known as the superficial musculoaponeurotic system (SMAS) to restore youthful firmness and definition from deep below the skin During a facelift, the SMAS should be released and adjusted separately from the skin. Skilled plastic surgeons use several SMAS strategies to give the most natural and long-lasting results, and the best technique is determined by the patient's personal anatomy. The SMAS can be cut and then lifted and sutured to a stronger area like the bone. The continuity of the superficial musculoaponeurotic system with the platysma also creates an effective unitary connection with the mandibular and cervical areas. For these areas, where the signs of aging are first shown with soft tissue ptosis and cervical bands, we propose our lower face-lift technique with SMAS-flap transposition The extended SMAS facelift is regarded as the state of the art in facelift technology allowing for effective facial rejuvenation without the telltale signs of facelift surgery. By using this technique, surgeons are able to utilize aggressive pull on the elevated muscle layer to hoist the skin layer in order to minimize undue tension on the pull. Facelift with SMAS technique. Dr Crescenzo manages Facelifts with a technique called SMAS undermining. SMAS is the superficial Musculo-Aponeurotic System which is undermined and lifted to restore the optimal connection between soft tissue and bone frame. The technique maintains the adhesion of skin and SMAS for perfect, long term results

The Super-High SMAS Facelift Technique With Tailor Tack

A facelift—technically, a rhytidectomy—is a surgical procedure that seeks to correct the facial features that go along with aging, including wrinkling or sagging, accumulation of fat, and loss of elasticity in the skin. You can find out more about the various types of facelift techniques in Zwivel's extensive facelift procedure guide Facelift with SMAS Technique. Dr Crescenzo manages Facelifts with a technique called SMAS undermining. SMAS is the superficial Musculo-Aponeurotic System which is undermined and lifted to restore the optimal connection between soft tissue and bone frame. The technique maintains the adhesion of skin and SMAS for perfect, long term results SMAS Facelift technique surgically elevates the entire underlying layers as well as the skin. The SMAS Facelift Surgery is rather extensive and complex, as it both lifts and tightens your jowls, neck, and cheeks. The results are individual, but can deliver rejuvenation and firmness of the skin around the face

The MACS technique is a much less invasive surgery than the SMAS face-lift technique. It's ideal for men and women who still have quite a bit of natural elasticity in their skin. It targets the underlying muscular structures in your face, so it's a great option if you have some sagging skin, but good skin tone High SMAS facelift is the way to go. I am a huge proponent of the high SMAS flap and SMAS excision for getting the most out of a facelift. There is just now comparison to skin only and SMAS plication. There is so much more movement with the SMAS facelift then the other techniques and the longevity is much greater These techniques are the Hamra composite facelift, the Stuzin extended SMAS technique, the Barton high SMAS technique, and the Ramirez subperiosteal facelift,.

The High SMAS Technique. The traditional low cheek SMAS flap elevated below the zygomatic arch suffers the drawback that it cannot, by design, have an effect on tissues of the midface and infraorbital region. Low designs target the lower cheek and jowl only and produce little if any improvement in the upper anterior cheek area Endoscopic Facelift. This uses multiple tiny incisions made along the hairline or on the scalp. Dr Gupta uses an endoscope or a camera to examine the SMAS. This way, the lift is more precise and has better results. RG Aesthetics is the only centre currently offering endoscopic facelifts Dr. Sparano of NJ employs a deep-plane facelift technique with a partial SMAS resection and imbrication. Described simply, Dr. Sparano performs his dissection beneath the deeper tissue under the skin to maximize results at the jowl and lower mid-face. His direct manipulation of the SMAS tissue allows for a longer-lasting result definitively. Deep plane facelift. Unfortunately, some signs of aging occur below the SMAS layer. This is where the deep plane facelift comes in. Plastic surgeons perform this technique by addressing the deep plane, or layers beneath the muscle. Features like the jawline and neck are lifted together as one unit instead of separately

Fortunately, these skin-only facelifts are a thing of the past, and the new normal for a standard facelift is what is known as an SMAS facelift. The SMAS technique is named for the layer of tissue on which it operates: the superficial musculo aponeurotic system, which is a layer of muscle and connective tissue that separates the skin of the. The SMAS Facelift Rancho Mirage facelift surgeons Dr. Ordon and Dr. Chopra perform facelifts using the SMAS (superficial muscular aponeurotic system) technique. Typical facelifts only lift the top layer of facial tissue, which can give patients the too-tight, worked-on appearance

Comparing the SMAS and the MACS Facelift J

Face-lift technique. During a face-lift, facial soft tissues are lifted, excess skin is removed and skin is draped back over the newly repositioned contours. Incisions can be made in the hairline starting at the temples, continuing down and around the front of the ears and ending behind the ears in the lower scalp The SMAS-Platysma facelift is designed to correct the laxity of the SMAS and platysma, thereby correcting the changes caused by aging in the most natural and anatomically sound way. In order to perform a SMAS-Platysma facelift, the skin on the face and neck is lifted through cosmetic incisions located in, around, and behind the ear and in the.

Rhytidectomy - Wikipedia

Facelift: Planning and Technique Timothy J. Marten, MD, FACS From the Marten Clinic of Plastic Surgery, San Francisco, California Experience has shown that a superior facelift result is not possible without modification of the SMAS, platysma, and other deep facial structures Facelift Before and After Photos. William Truswell, MD, is board-certified in otolaryngology and facial plastic and reconstructive surgery. He is president of the American Board of Facial Plastic and Reconstructive Surgery. Things seem to change so quickly in the field of cosmetic surgery that what was new one year is suddenly old hat by the next

Vertical HIFU Face Lift Skin Tighten SMAS Lifting With 3Orange County Facial Plastic Surgeon Introduces New True

Facelift techniques: the differences explained - Refreshed

A facelift is a type of cosmetic surgery to provide a younger, firmer appearance to your face. Superficial musculo aponeurotic system (SMAS) is the group of facial muscles and tissues that tend to become saggy with aging.It is a layer of tissue that occurs under the skin of your face and provides facial elasticity and support Facelift technique. When performing a facelift the plastic surgeon makes an incision from the hair line of the temples, via the natural fold in front of and behind the ear towards the back of the head. The excess skin will be cut away, underlying tissues will be stitched with tension. Possible excessive fat will also be removed Hause mastered this technique 25 years ago during his fellowship with Bruce Connell, who originated the High Extended SMAS facelift. Dr. Hause remains one of the less than 1 percent of all Face lift surgeons who can perform this complex and artistically demanding technique The Extended SMAS Facelift. The extended SMAS facelift is considered the GOLD STANDARD in facelift techniques. It utilizes a full length incision technique that allows for correction of the upper, middle, and lower cheeks, the jawline, as well as the neck regardless of the severity of skin redundancy and degree of sagging

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