21 days ago
The SMAS or submuscular aponeurotic system is actually two layers of a fibrous type tissue the sandwich the muscles of facial expression. Elevation this layer, such that occurs during the extended SMAS facelift that I perform moves the jowls back to the midcheek region from which they've come. With mild to moderate jowls SMAS plication may be okay. But with heavy jowls I think an extended SMAS elelvation moves the jowls much higher lotheh midcheekregoopm
