Some patients considering a facelift in Scottsdale or Phoenix, AZ, can benefit from an approach designed for patients with mild to moderate skin sagging in the lower face, creating a more defined jawline. Double board-certified facial plastic surgeon Dr. Todd Hobgood typically recommends a SMAS facelift technique for younger patients with early signs of aging who want small changes.
The incisions used for a SMAS facelift are generally the same as those used for a deep plane lower facelift. While it is less extensive than a deep plane facelift, requiring less undermining or release of the SMAS tissues and platysma muscle in the neck, this technique is well known to produce reliable results. This is particularly true for younger patients who may want a less aggressive procedure.
Dr. Todd Hobgood
Dr. Hobgood combines his down-to-earth, personable demeanor with an artistic eye and technical expertise honed through thousands of surgeries, including more than 1,000 facelifts. He's recognized nationally for his leadership and has been honored by the American Academy of Facial Plastic and Reconstructive Surgery for his ongoing commitment to quality.
SMAS refers to the superficial muscular aponeurotic system, an organized fibrous network composed of the platysma muscle, parotid fascia, and fibromuscular layer covering the cheek. A SMAS plication facelift is often called a mini facelift because it’s less invasive than a traditional SMAS lift. In a mini facelift, the surgeon generally will not undermine or dissect undermine the SMAS tissue; instead, the surgeon uses support sutures in the surface to create the result. In a traditional SMAS imbrication facelift, the surgeon undermines and separates the SMAS layer, producing a girdling effect that tightens the jowls, jawline, and neck.
Under certain patient circumstances, including past surgical history and some anatomic conditions, expert surgeons like Dr. Hobgood may recommend a traditional SMAS imbrication or SMAS plication (mini facelift) approach.
However, Dr. Hobgood recommends a deep-plane approach for most patients because it reliably produces superior, long-term results. The deep plane approach incorporates a more extensive release of facial ligaments, allowing for more natural release and repositioning of the cheeks, jowls, and neck soft tissues. In many circumstances, the deep plane approach for facelifting incorporates a more natural, refreshed look with less downtime. The deep plane approach also allows for the artisitic repositioning of the volume of the SMAS platform into a more youthful position filling the cheeks and jawline.
Neither SMAS plication nor imbrication involves releasing the deep facial ligaments. These ligaments hold the SMAS in place and, unless released, would limit the elevation of the facial tissue.
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Dr. Hobgood tailors each facelift procedure to the needs of each patient, including the SMAS facelift. A SMAS facelift is sometimes called a short-scar facelift because the incisions are typically less extensive than with a more invasive facelift. Dr. Hobgood makes discreet incisions in front of the ear and lifts the skin, exposing the SMAS layer. He then elevates the tissue and removes excess skin before suturing the incisions.
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Double board-certified facial plastic surgeon Dr. Todd Hobgood is one of the leading facelift experts in the U.S., and he's drawn on years of experience to create this Insider's Guide.
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How Long Is Recovery After a SMAS Imbrication Facelift?
The recovery time following a SMAS facelift is typically shorter than a deep plane facelift because the procedure is less invasive. You should plan to take a week off from work. During this time, the swelling and bruising peak and then start to resolve. Your incision will initially appear reddish before fading over the ensuing months.
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