Why is SMASectomy not commonly done during rhinoplasty?

Question

For medium to thick skin types, SMASectomy seems to improve nasal tip definition. From the few research papers I have seen using this technique, the results seems to be better than if it were not done. Are there any surgeons who routinely do this? Who are they? Thanks.

Eric M. Joseph, MD · Answer

The nasal SMAS layer is mostly along the side walls of the nose, and this consist largely of the dilator nasal muscles. When somebody has thick skin that limits tip definition, we may perform a defatting of the nasal tip skin to make it a bit thinner. Some people have extensive sebaceous glands underneath the nasal tip skin, and during an external rhinoplasty procedure, this may be dealt with. I hope this answers your question. Sincerely, Dr. Joseph

Anil R. Shah, MD · Answer

While a SMASectomy is not a routine procedure in rhinoplasty it is can be done to address fullness in the Superficial Musculoaponeurotic System (SMAS) can be beneficial for certain patients seeking nasal refinement. Manipulating this soft tissue is a crucial aspect of rhinoplasty to achieve desired aesthetic outcomes.

Lexie Wang, MD · Answer

I think many rhinoplasty surgeons will routinely do this, esp for thicker skin nose patients. It is not that novel of a procedure that you would have to go hunting to find specific people who do it. If you are concerned, you could always specifically ask any surgeon you consult with.

Ronald J. Edelson, MD · Answer

A SMAS is not part of rhinoplasty.  It refers to something that is fine with a facelift.  I have never heard of the SMAS in relation to rhinoplasty

Jeffrey H. Spiegel, MD · Answer

I do this regularly for people with thick skin, or with persistent scarring and thickness after a prior rhinoplasty. When done correctly it is very effective.

Why is SMASectomy not commonly done during rhinoplasty?

Answers (6)

Answer: SMAS

Answer: SMAS

Answer: It is done when needed

Answer: It is done when needed

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Everything you need to know about Rhinoplasty

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Why is SMASectomy not commonly done during rhinoplasty?

Answers (6)

Answer: SMAS

Answer: SMAS

Answer: It is done when needed

Answer: It is done when needed

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.