Southlake SMAS Facelift doctors

	Michael A. Bogdan, MD Dallas Plastic Surgeon 410 N Carroll Avenue Suite 170, Southlake		3 answers
	Scott E. Kasden, MD Dallas Plastic Surgeon 1422 Main Street Suite 274, Southlake		3 answers
	Vishnu Rumalla, MD Dallas Plastic Surgeon 1870 Keller Parkway Suite 100, Keller		1 answer
	Walter D. Gracia, MD Arlington Plastic Surgeon 1204 5th Avenue, Fort Worth
	Steven Holzman, MD Austin Plastic Surgeon 6818 Austin Center Boulevard Suite 206, Austin

Recent Answers

During a Full Face and Neck Lift Which is More Effective: SMAS Plication or SMAS Trimming? Direct sutures or suspension (NOT thread) sutures into the SMAS? What has been your experience long term?

A: SMAS - Let the surgeon choose the technique

You are not really asking the appropriate question. There are many maneuvers that can be done on the SMAS layer, and the decision making process is much more complex than "which is more effective." For instance, in someone who has a very thin face where I want to maintain as much facial volume as possible, I am more likely to perform imbrication / plication on the SMAS layer rather than any excisional technique (SMASectomy or advancement flaps). For someone with a "full" face, a SMASectomy may be the ideal technique, as it allows for volume removal, and prevents widening of the face.

You should visit a surgeon who customizes their procedures to fit your anatomy, rather than a following a cook-book procedure. Allow them the latitude to make appropriate intraoperative decisions. If you generally like the results they display in their photo galleries, you should feel comfortable that they will make similar appropriate choices when it comes to your surgery.

Best regards,

Dr.B

Michael A. Bogdan, MD

Dallas Plastic Surgeon

How Much Does an SMAS Facelift Cost?

Vishnu Rumalla, MD

Dallas Plastic Surgeon

Facial Widening with SMAS Facelift Four months after SMAS facelift my face is still wide where the SMAS was folded for suturing. Is there a reason why a surgeon elects to fold the SMAS rather than trim (SMASectomy)?

A: Folding SMAS over the Zygoma

The SMAS layer is folded under for two reasons.

1. it gives extra strength to the repair where it is sutured to the cheek bone (zygoma)

2. It gives more fullness and definition to the cheek bone area which is frequently lost over time, or not well developed in the first place.

This is a standard practice. The fullness should resolve over the next year.

sek

Scott E. Kasden, MD

Dallas Plastic Surgeon