SMAS Facelift Melbourne

Surgical Warning: Any surgical or invasive procedure carries risks. Before proceeding you should seek a second opinion from an appropriately qualified health practitioner.

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How does a SMAS Facelift work?

A SMAS facelift is a surgical technique designed to lift and tighten the deeper structural layer of the face, known as the Superficial Musculoaponeurotic System (SMAS). This layer lies beneath the skin and plays a crucial role in facial movement and expression.

• The SMAS layer is lifted and repositioned, allowing the overlying skin to naturally settle.
• The jawline, midface, and cheeks are redefined to restore youthful contours.
• Excess skin is carefully removed, preventing a “pulled” or artificial appearance.
• The neck and lower face can also be enhanced, providing a more comprehensive lift.

Benefits of a SMAS Facelift

A SMAS facelift offers numerous advantages over traditional facelift techniques by targeting both skin and deeper facial structures.

• More Natural Results – Avoids the “windswept” look by lifting the entire facial structure, not just the skin.
• Longer-Lasting Effects – Results typically last 10-15 years, compared to 5-7 years for traditional facelifts.
• Enhanced Jawline & Neck Definition – Reduces jowls and sagging, providing a more youthful contour.
• Minimal Scarring – Incisions are hidden in natural creases, reducing visible scars.
• Versatile & Customizable – Can be combined with neck lifts, brow lifts, or eyelid surgery for comprehensive facial rejuvenation.

SMAS Facelift vs. Other Facelift Techniques

A SMAS facelift targets both the skin and the underlying SMAS layer, making it a more effective and long-lasting solution than traditional facelifts that focus only on surface skin tightening. Compared to a deep plane facelift technique, which is a significant advancement in facial plast surg, the SMAS facelift is ideal for patients who want a natural, structured lift with fewer risks of altering facial expressions. The deep plane facelift lifts deeper facial structures, providing natural, long-lasting results. Unlike mini facelifts, which offer only subtle improvements, a SMAS facelift provides significant, long-term facial rejuvenation while maintaining a youthful and balanced appearance.

The deep plane technique effectively repositions both muscle and fat as a continuous unit, resulting in less bruising and swelling compared to traditional SMAS facelifts.

Who is a Good Candidate for a SMAS Facelift?

The ideal candidate for a SMAS facelift is someone looking to restore facial definition, reduce sagging, and achieve long-lasting rejuvenation. This procedure is best suited for individuals who:

• Are in good overall health with no serious medical conditions.
• Preferably do not smoke, as smoking affects healing and skin elasticity.
• Experience moderate to severe signs of aging, including:
• Deep nasolabial folds (smile lines).
• Sagging jowls and loss of jawline definition.
• Loose neck skin.
• Drooping cheeks or volume loss.
• Excess facial skin, which can indicate aging signs such as deep creases, jowls, and neck definition. Evaluating facial skin condition during consultations is crucial to address aesthetic goals effectively.
• Desire long-lasting results and understand the surgical recovery process.
• Have realistic expectations and want a natural yet significant improvement in facial appearance.

The SMAS Facelift Surgery: Step-by-Step

A SMAS facelift is a carefully performed surgical procedure designed to restore youthful facial contours by repositioning both the skin and the underlying SMAS layer. The process involves three key stages: preoperative consultation, surgery, and post-surgical recovery.

Step 1: Preoperative Consultation

A successful facelift starts with a detailed consultation with a board-certified plastic surgeon, who will assess your facial structure, skin quality, and degree of aging. The consultation helps to determine whether a SMAS facelift is the right choice for you and ensures that the procedure is customized to your unique aesthetic goals. It is crucial to understand the risks, aftercare, and recovery associated with SMAS facelift surgery during the consultation.

• Your surgeon will analyse your skin laxity, volume loss, and overall facial structure, identifying the areas most benefit from lifting and repositioning.
• Every face is different, so your surgeon will develop a personalised plan based on your specific aging concerns. The goal is to create a balanced, natural lift that enhances jawline definition, cheek contour, and midface structure.
• Your surgeon will give pre-surgery instructions which may include:
• Stop smoking at least four weeks before surgery – Smoking restricts blood flow and oxygen supply to tissues, which can impair healing and increase complications.
• Avoid blood-thinning medications and supplements – This includes aspirin, ibuprofen, fish oil, and vitamin E, as they can increase bruising and bleeding risks during and after surgery.
• Stay hydrated and maintain a healthy diet – Proper nutrition supports skin elasticity and promotes faster healing.

Step 2: Surgery Process

A SMAS facelift is typically performed under general anesthesia to ensure patient comfort. The facelift technique involves a precise and well-structured surgical approach to deliver the best possible outcome.

• Anesthesia & Preparation:

A SMAS facelift procedure is conducted under general anesthesia, ensuring a pain-free experience. The face is carefully marked by the surgeon to outline incision placement and lifting direction.

• Incision Placement:

Incisions are strategically hidden in the hairline, around the ears, and along natural creases to minimize visible scarring. The incision placement allows the surgeon to access the SMAS layer without excessive trauma to the skin, ensuring long-term durability of the results.

• Lifting & Repositioning:

The SMAS layer is gently lifted and repositioned, restoring midface volume and jawline definition. Excess skin is carefully removed, preventing an over-tightened or artificial look. The muscles and connective tissues are adjusted to maintain natural facial movement and expressions while providing structural support.

• Closure & Dressing:

The incisions are meticulously closed with fine sutures to promote seamless healing. A light dressing or compression bandage is applied to reduce swelling and protect the surgical area.

The entire procedure takes approximately 3-6 hours, depending on the extent of the facelift and whether it is combined with other enhancements such as a neck lift or eyelid surgery.

Step 3: Post-Surgery & Recovery

The immediate recovery period is crucial for minimising swelling, preventing complications, and ensuring optimal healing. Skin resurfacing may be recommended post-surgery to enhance the final results and address skin-related concerns.

Immediate Post-Surgery Care:

• Most patients return home the same day, though some may stay overnight for monitoring, especially if additional procedures were performed.
• The face will be wrapped in bandages, and some mild swelling and bruising will be noticeable.
• Pain is minimal and can be managed with prescribed medication.

First Week of Recovery:

• Swelling and bruising peak during the first 3-5 days but gradually subside.
• Patients are advised to sleep with their head elevated and avoid excessive facial movements to support healing.
• A follow-up appointment is scheduled within a few days to monitor progress and remove any initial dressings.

Two to Three Weeks Post-Surgery:

• Most swelling has reduced, and patients can resume light activities and return to work (if non-strenuous).
• Stitches are typically removed after 7-10 days, depending on healing progress.
• Patients may begin gentle skincare routines and cover residual bruising with makeup if needed.

One to Three Months After Surgery:

• The final results start to emerge as swelling completely subsides.
• The skin settles into its natural position, revealing a more youthful, refreshed appearance.
• Scar healing continues, with incisions fading into discreet, fine lines.

Full results are typically visible within 3-6 months, with ongoing improvements as the skin continues to heal and regenerate. The effects of a SMAS facelift can last 10-15 years, making it one of the most durable and effective facelift techniques available.

It is essential to follow post-operative care instructions strictly which includes using cold compresses to reduce swelling and avoiding sun exposure for at least six months.

SMAS Facelift Final Results

The initial improvements will be noticeable within a few weeks, but full results take several months to fully develop. In the first 1-2 weeks, swelling and bruising will gradually subside, and your facial contours will become more refined.

By 6 weeks post-surgery, the majority of swelling will have diminished, allowing you to see a more youthful, lifted appearance. However, it can take 3-6 months for the tissues to fully settle and for the final, natural-looking results to emerge. Patience is key, as the healing process is gradual but highly rewarding.

Will I Have Scarring?

Yes, but scars are strategically placed to be as inconspicuous as possible. Incisions are made along the hairline and around the ears, where they are hidden within natural facial contours. Over time, these scars will fade significantly, becoming barely visible within 6-12 months.

To promote optimal scar healing, follow these best practices:

• Use silicone gel or scar creams to enhance healing and minimize scar appearance.
• Avoid direct sunlight, as UV exposure can darken scars and prolong healing. Always use SPF 50+ sunscreen on your incision areas.
• Follow your surgeon’s aftercare instructions to ensure proper healing and prevent irritation.

With proper care, scars will blend seamlessly with your natural skin, and most patients find them to be virtually unnoticeable over time.

How Long Do SMAS Facelift Results Last?

A SMAS facelift provides long-lasting rejuvenation, with results typically lasting 10-15 years. While aging continues naturally, the improvements achieved through the procedure mean that you will always look younger than if you had never undergone surgery.

How Can I Maintain My Results?

To prolong the effects of your facelift and keep your skin looking youthful:

• Adopt a healthy lifestyle – A balanced diet, hydration, and avoiding smoking help maintain skin quality.
• Follow a consistent skincare routine – Use medical-grade skincare, including moisturizers, retinol, and sun protection, to support skin elasticity.
• Consider periodic maintenance treatments – Non-surgical options like laser therapy, RF skin tightening, or dermal fillers can help maintain volume and skin firmness over time.

By taking proactive steps to care for your skin, you can extend the youthful, lifted appearance of your SMAS facelift for years to come.

How to Choose the Right Surgeon for a SMAS Facelift

Selecting the right plastic surgeon is one of the most critical factors in achieving a successful and natural-looking SMAS facelift. The procedure requires a deep understanding of facial anatomy and advanced surgical techniques, making experience and expertise essential.

When choosing a surgeon for your facelift, consider the following:

• Look for board certification – Ensure your surgeon is board-certified and has extensive experience specifically in facelift procedures.
• Review before-and-after photos – Seeing real patient results can help you assess the surgeon’s skill and determine if their aesthetic aligns with your goals.
• Have a thorough consultation – A skilled surgeon should take the time to examine your facial structure, discuss your concerns, and create a personalized treatment plan that meets your aesthetic needs.

Why Choose Me Clinic for Your SMAS Facelift

Taking the first step toward facial rejuvenation is a big decision, and at Me Clinic, we are dedicated to providing expert care and tailored solutions to help you achieve your aesthetic goals.

Our specialist plastic surgeons have extensive experience in facelift surgery, ensuring natural, long-lasting results. During your consultation, you’ll receive a comprehensive facial assessment, a detailed explanation of the procedure, and a customized plan suited to your unique needs.

At Me Clinic, we prioritise patient safety, comfort, and satisfaction, offering state-of-the-art techniques that preserve facial expressions while restoring a more youthful definition.

Contact Me Clinic today to book your consultation and assessment.

• Phone Me Clinic at 1300 852 050

• Get an online consultation assessment

Let our specialist plastic surgeons guide you toward a SMAS facelift solution designed just for you.

Further reading of facelift surgery

• For patients who want more information on facelifts, see the main Facelift page.
• Visit the Deep Plane Facelift page.
• Look at other lift procedures that are commonly combined with a deep plane facelift such as Neck Lift and Brow Lift.
• Visit the Facelift Before and After gallery.

Medical references for SMAS Facelift

• Mayo Clinic: Face-lift
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• Joshi, K., Hohman, M. H., & Seiger, E. (2023). SMAS Plication Facelift. In StatPearls. StatPearls Publishing.
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• Kaya, K. S., & Cakmak, O. (2022). Facelift Techniques: An Overview. Facial plastic surgery : FPS, 38(6), 540–545.
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