SMAS Facelift: Q&A
Ask a Question
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?
Tags:
14 Doctor Answers |
Asked by
NHaven
in Oklahoma City, Oklahoma
+4
Appropriate technique for SMAS facelift
My opinion is that no technique is as effective and capable of creating a natural appearance as selective SMAS dissection and suspension. The decision to conserve or trim SMAS is made on an individualized basis. I see imbrication and plication without dissection as a shortcut that dampens the response to the intervention. That being said, an excellent surgeon with a different preferred techniqaue will deliver a superior result to a poor surgeon using the best technique...
more
+2
Both SMAS Plication and Resection are Effective - It's the surgeon that counts
Over the past two and a half decades I have had the opportunity to do both SMAS excision and SMAS Plication facelift procedures and have found no difference in results.Both Techniques are effective. This has also been written about and discussed at our annual meetings. The bottom line is that "great surgeons get great results" which don't seem to be specific technique dependent.
Probably most important factor of all is in fact the skill and...
more
+2
SMAS plication vs trimming
SMAS trimming with tightening is always better than plication since the fascia layer is actually advanced and tightened more significantly than just simple plication.
You might also like...
Real Stories
63 Looks Like 40: Full Facelift by Dr. Koelliker - Guanajuato, Mexico
I have had a full facelift with Dr. Koelliker on February 27, 2013 at Guadalupano hospital...
+2
Effectiveness of Various Facelift Techniques
With SMAS plication no SMAS is excised. Following SMAS imbrication excess tissue is usually removed. However, as I have said before, pick the surgeon and not the technique. Facelift is a very generic term - there are many procedures and variations of those techniques. Find an experienced surgeon whose results you like in faces that resemble yours.
+2
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...
more
+1
SMAS Plication or SMAS Trimming
In general, there is both a loss of volume with facial aging and a descent of that volume. Due to the volumetric loss, resuspending the fallen tissue to a more youthful architecture makes the most sense to me. A lot of the result depends upon vector of pull, tightness of suspension, the distance of translocation of tissues, and intrinsic fatty volume of the face. I find that added fat grafting to the facelifting techniques is frequently needed to enhance...
more
+1
SMAS plication and SMAS trimming during a facelift
Whether a surgeon uses SMAS plication or SMAS trimming depends on your aging process. Incorporation of the SMAS Layer is paramount during a facelift or neck lift. How it's used will depend on the surgeon and the individual's aging process
+1
SMAS options
The procedures are really not interchangeable. In people with full round faces you are best to trim the SMAS and mere plication can make them look more round. In thin faces you like to imbricate the SMAS to add volume to places where it has been lost. Properly done with stitches that are not too tight, they should both last equally as long.
+1
SMAS plication vs trimming
I prefer SMAS trimming and imbrication to tighten the SMAS layer, though some surgeons have very good results using plication.
Like many of the others here have written, I would focus more on your potential surgeon's long term end results (Are the results durable and natural?) rather than the specific technique used.
+1
SMAS
The manipulation of the SMAS is an excellent way to give natural results with a facelift. Both techniques are equal but should not be used on all patients. Anyway who says only one technique is best does not know how to perform both techniques. The same is true for cranial suspension sutures. There is the correct procedure for each patient. To say one procedure is superior assumes all people have the same faces.
+1
Options for the SMAS
I agree with most of the opinions on this topic. The results are more important than the technique. How the SMAS is manipulated is largely dependent on the specific needs of the patient. I wouldn't get too wrapped up in the details. Some surgeon get great long term results with plication, others with impbrication, others use a composite technique etc. I would look at the before and afters and get a look at their long term results as well and use this as a guide rather than specific...
more
+1
During a Full Face and Neck Lift Which is More Effective: SMAS Plication or SMAS Trimming?
I have performed Face Lifts for over 20 years and the SMAS undermining and trimming (Imbrication) is the only effective and reliable method of dealing with this layer, IMHO. Folding the SMAS upon itself (plication) as well as the various suture or thread suspension methods may be easier on the surgeon but do not, IMO, have the same level of long term results.
+1
Technical details beyond your understanding in facelifting
When you are asking questions like these, you are really missing the point as there are many ways to do a facelift. SMAS work is key but how you do it varies with each doctor and with each patient's anatomy.
The key is to find the best doctor who shows you numerous (I'd say maybe 20 patients) early and long term results that you like and you will have found the right person for you. Don't get lost in the technical detailsas it is like getting lost in...
more
+1
Smas plication or excision in face lifting.
Smas plication or excision in face lifting is up to the surgeon based on your aging pattern. You need to look at results, not techniques that you won't understand why they are used and when. Pick an experienced facelift surgeon for the best results.
Comments (0)