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Patients will often ask me, "What's the difference between a normal face lift or a SMAS face lift?" The SMAS refers to the deeper, more substantial layer that supports the tissues of the face. And it's by operating on this layer that we can affect long term changes to provide natural correction to a face and make it youthful. The common mistake we see with face lift is too much pressure being transmitted to the skin level. So if it's classic skin only face lift, oftentimes, we'll get irregular light scarring and unnatural and old or tethered look. With detailed SMAS work, you're allowed to provide results that are longer lasting and natural.

Patients that are candidates for face and neck lifts will often ask me, "What do I really need?" And I think the answer to that is specific to the patient. Patients have different presentations. Some have more concern with their neck, some have more concerns with the areas around their cheeks or their eyes even. And I think the approach can be tailored. There are several different types of SMAS operations, which allow you to either bring the SMAS together by plicating it or elevating one layer on top of another to add more volume. And there's also certain ways to tailor it and provide more refinement along the jaw line and improve that contours of the neck. And really, each approach that I'd pick other is tailored to what the patient's needs are. I often ask them to bring pictures of them as younger person so we can emulate what's a natural appearance for them.

What Is a SMAS Facelift?

Dr. Steven Camp explains the SMAS and how a SMAS facelift may benefit you.

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