Kennewick SMAS Facelift doctors
 |
William Portuese, MD
Seattle Facial Plastic Surgeon
1101 Madison St Suite 1280, Seattle |
|
11 answers |
Recent Answers
Direct sutures or suspension (NOT thread) sutures into the SMAS? What has been your experience long term?
SMAS trimming with tightening is always better than plication since the fascia layer is actually advanced and tightened more significantly than just simple plication.
I was curious because I have been hearing about them recently and wanted to know if it would work better.
A SMAS facelift is routinely done at the time of a traditional face/neck lift. It is the fascia layer in the cheek, which is tightened to eliminate jowls. The SMAS stands for the superficial musculoaponeurotic system of the face.
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.
When performing the SMAS technique it is important to limit the amount of undermining of the face, which causes the streaking effect. The vector of pull during the facelift is just as important so as not to give a windswept look. We perform a composite SMAS lift and avoid these streaking appearances.