Austin SMAS Facelift doctors

Randy J. Buckspan, MD Randy J. Buckspan, MD
Austin Plastic Surgeon
630 W. 34th Street Ste 201, Austin
2 answers
Mario Diana, MD Mario Diana, MD
San Antonio Plastic Surgeon
19234 Stonehue Suite 101, San Antonio
William H. Gorman, MD William H. Gorman, MD
Austin Plastic Surgeon
3003 Bee Caves Rd Ste 203, Austin
Elizabeth S. Harris, MD Elizabeth S. Harris, MD
San Antonio Plastic Surgeon
540 N. Madison Oak Suite 400, San Antonio
Steven Holzman, MD Steven Holzman, MD
Austin Plastic Surgeon
6818 Austin Center Boulevard Suite 206, Austin

Recent Answers

SMAS Lift Technique Results?

Minas Constantinedes says (in his website video) that a plain SMAS lift gives just a pull close to the ear and therefor the patient develop in five years theis streaky lines and kinda funny looking faces. Has enyone else notised this to? Dr. C. therefor uses a technique that lifts the whole SMAS, called a composite lift or deep plane lift.

A: SMAS Facelift is a great procedure

A SMAS facelift is a great procedure when done by an experienced plastic surgeon.  Any procedure can have an undesirable result if not done properly, done for the wrong reasons, or done on the wrong patient.  You need to let your surgeon decide what is best for you, rather than shop for a certain procedure.

Randy J. Buckspan, MD
Austin Plastic Surgeon
SMAS Facelift Incision?

After speaking with plastic surgeon about SMAS Facelift, and he said he does the SMAS, starting inside the ear, around the earlobe and about halfway up the back of the ear. Is this truly an SMAS Facelift? What can I expect from this? What do you recommend?

A: SMAS Facelift incision

A facelift may involve correcting three layers:

1. Skin

2. Fat

3.SMAS - Superficial Muscle layer

A SMAS facelift tightens and repositions the Superficial Muscle layer.

The scars made to do a facelift result from two needs:

1. A large enough opening to do the surgery under the skin

2. A long enough scar to remove skin excess.

So, you need a scar to get under the skin to tighten and reposition the SMAS, and to allow removal of the excess skin and a smooth closure. By tightening the SMAS layer, the skin does not have to hold up the deeper SMAS layer and thus the skin excess can be removed and closed without over pulling the skin. This will result in a more natural result that will be more long-lasting.

Randy J. Buckspan, MD
Austin Plastic Surgeon
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