SMAS Facelift: Q&A
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SMAS Facelift to Improve Jowls?
I had a lower lift done recently. I still have the jowl and a loose neck. Doctor says that is all that can be done. It was a SMAS lift. Does the SMAS lift just need to farther in the face? Can every jowl be lifted?
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20 Doctor Answers |
Asked by
oakley54
in dallas
+4
Mini SMAS lift?
Since I cannot see your preoperative photographs, it is difficult to make a complete judgment. However, I feel it is safe to say that you had a very "conservative" procedure. In certain circumstances, conservative or mini- is good, in yours it may have been less appropriate.
As others have stated, one surgeon's "SMAS" Facelift may be entirely different and less substantial than that of another surgeon. I would venture to guess that your SMAS procedure probably...
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+2
Residual jowls after SMAS facelift
It appears that your jowls and neck were insufficiently treated. The SMAS should be lifted more smooth out the jawline and the neck should be tightened.
+2
Unhappy After Facelift
Facelift techniques are confusing but the results should speak for themselves. Your photograph demonstrates a full face, persistent jowls plus or minus prominent salivary glands, and an ill-defined jawline and neck. Most of these problems can be dealt with with some form of SMAS manipulation along with minute amounts of liposuction. Your skin tone appears to be excellent, and should help you in the end. It appears that more aggressive techniques need to be...
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+2
Face lift
From the picture you still have major jowls, but an exam is needed to rule out a prominent submaxillary gland. You still have los of neck fat also.
ALL JOWLS CAN BE LIFTED WITH A SMAS face lift, in the habds of an experienced Board Certified PLASTIC SURGEON.
Find another Plastic Surgeon.
Baltimore Plastic Surgeon
+2
SMAS facelifts
It is difficult to tell from this picture especially without viewing your preoperative pictures but I will assume you went to a qualified surgeon. There are many other things that could explain your findings and difficulty in obtaining an optimal result. A prominent submandiblular gland could partially be responsible. Sub-platysmal fat is another possible explanation for the poorly defined neck angle. I would consider a chin implant as this can enhance the projection of the jawline....
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+1
SMAS Face Lift and Jowls
It is not clear at all what was done, but it is not the result that I would expect from a SMAS face lift. It is not just a question of whether the SMAS was "lifted" though. The mandibular ligaments and submental crease do not appear to have been released and the area under the chin is still full (probably with subplatysmal fat). If these elements had been incorporated with an adequate SMAS release and the use of a SMAS flap transposed to the mastoid area to provide...
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+1
Jowls can be fixed with a SMAS lift
Thank you for the photo. The answer is yes, the jowls can be treated with an appropriate facelift with manipulation of the SMAS. Make sure you go to a plastic surgeon certified by the AMERICAN BOARD OF PLASTIC SURGERY as they are trained in all facelift techniques and have performed them (as opposed to other doctors calling themselves "cosmetic surgeons" who have done a weekend course).
+1
Facelift to improve jowling and neck fullness
You do appear to have quite a bit of residual fullness in your jowl area. This could be due to inadequate tightening during the facelift or may be from excess fatty deposits that could be improved with liposuction.
As some of the others have mentioned, you may also have persistent fullness in the neck from your submandibular glands. An examination would help determine if this is contributing to your findings at all.
+1
"Branded" lifts and minilifts
There has been a big move toward 'mini-lifts' and 'lifestyle this or that' and other named lifts. For some, this is the answer. Usually, this works best for someone who does not really need a facelift. However, the result you have is inadequate. Need to go back and get those jowls moving. Or see someone else for a second opinion.
+1
SMAS lift
The SMAS lift helps the upper cheek area more than anything else, but during this facelift procedure neck and jowl work can also be performed. It looks likt you need more work.
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