Bay Area SMAS Facelift doctors
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Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
2400 Clay Street, San Francisco |
4 answers | |
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Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
433 North Camden Drive Suite 780, Beverly Hills |
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3 answers |
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Vincent D. Lepore, MD
San Jose Plastic Surgeon
2581 Samaritan Drive Suite 102, San Jose |
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2 answers |
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Robert F. Gray, MD
Bay Area Facial Plastic Surgeon
531 Main St., Pleasanton |
2 answers | |
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Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
450 Sutter Street Suite 2433, San Francisco |
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1 answer |
Recent Answers
Had smas lift 6 mos ago. I still see pulled-up muscles "cords" under skin. One side since surgery--pic with scar. As swelling has decreased, they're now noticeable on BOTH sides, especially in certain light--curtain pic. Looks like pulled up "austrian shade" :) My PS says they'll "soften" over time. What caused this? I don't see similar smas pix on this site. Is this a smas lift gone bad? How long do you think "over time" is? Will it ever go away? I'm starting to get embarrassed :(( P
Morning Seefiddle,
I wouldn't say you PS made any errors but it can be improved if not resolve on it's own over the next 3 months or so. It's difficult to say without an exam but based on what I can see from your 2 wk post op it looks like the anterior and superior limit of the dissection of the cheek area was limited to about where that depressed cord appears. If the irregularity doesn't improve on it's own, and it probably will, you can do a small revision to lift the SMAS above the irregularity and smooth that area out. What Dr. Virden mentioned about dissolvable sutures is true. I would ask your PS about that. Keep in mind every facelift is a SMAS lift, if just depends how you use it. I think the dissection on your face was more limited and in the neck area more extensive which is probably what I would have done. This technique is common in men because you want to focus on the jawline and neck. Much more than that and you femanize the face. I think you PS did and nice job and your issue can be addressed without too much trouble. The "mini-face lift" example in this video represents about how much skin elevation I think was done on you plus your neck lift. Hope this helps. You'll do well.
Chase Lay MD
What are all the different types of tissue found in the SMAS layer?
The SMAS (superficial musculo-aponeurotic system) is a dense layer of fascia that envelops the muscles of facial expression and is contiguous with the platysma muscle in the neck. It is this layer that is utilized during a facelift procedure to allow for a more natural-appearing result. In my practice, to achieve a natural, more youthful look, I perform an extended sub-SMAS elevation that continues low into the neck in the subplatysmal plane in conjunction with neck liposuction. The result is a smooth, rejuvinated face and neck with excellent contour of the neck and jawline.
I was curious because I have been hearing about them recently and wanted to know if it would work better.
A SMAS (superficial musculoaponeurotic system) facelift is the "normal" facelift in my practice. To achieve a natural, more youthful look, I perform an extended sub-SMAS elevation that continues low into the neck in the subplatysmal plane in conjunction with neck liposuction. The result is a smooth, rejuvinated face and neck with excellent contour of the neck and jawline. One other technique that has been described consists of only folding the SMAS upon itself which, in my opinion, does not provide long lasting results. Another older technique is elevation and tightening of the skin only which causes the "windswept" look.
