Any type of facelift surgery, not just SMAS facelift, will have a higher risk of complications when performed on a smoker. Smoking greatly increases the risk of vascular compromise during surgery, which can lead to necrosis (skin death). Smoking also interferes with the body’s healing ability. T...
The SMAS Facelift uses the deep tissues to move facial fat to its original youthful positions providing volume and highlights to the face. When properly performed by a very experienced facelift surgeon, the SMAS is used to carry jowl fat superiorly to the midface and cheekbones...
Based on your nicely post of photos, I recommend secondary revision full open facelift with potential crafting two areas of denting and releasing of hanging tissue with muscle plication. Fee $15,000-$25,000. Best virtual consult with.