Doctor Answers 9
Here are some specifics of how this is performed.
SMAS is an abbreviation for a tissue layer called the Superficial Muscular Aponeurotic System. As this is a mouthful, most patients and surgeons use the acronym SMAS. The SMAS is a relatively thin layer of strong fascial supporting tissue that covers and surrounds the deeper tissues and structures of the face and neck, including fat pads and muscles, and the entire cheek area. It also attaches to the superficial muscle covering the lower face near the jaw line and neck called the platysma. As the SMAS attaches to all of these areas of the face, a SMAS lift surgically elevates this layer which in turn elevates the soft tissues and structures of the face. To do this, the SMAS layer can be folded superiorly and attached to itself, called SMAS plication, or it can be tightened and lifted by removing a redundant portion and then reattaching itself in the uplifted position (SMAS resection, or “SMASectomy”).
Now the confusing part:
The SMAS facelift may be part of the traditional facelift type procedures which have longer scars, more undermining of skin than some of the mini-lift procedures. Unfortunately there are a lot of brand names attached (especially to mini face lifts) and not all include the SMAS lift. The mini-lifts may be tough to choose from because of all the brand names such as LifeStyle Lift, S-Lift, Quick Lift, LiteLift, MACS and others. In many cases there are more similarities than differences between these procedures as they share the use of smaller incisions, quicker recoveries, and are often done under local anesthesia with oral sedation. Differences are often more related to the surgeon’s experience and preference of surgical technique. I understand how confusing this must be to the consumer. For example, in my practice we perform the LiteLift™—see below link for further details.
The skill and experience of the surgeon is far more important than the technique chosen. Factors such as the lift directional vector, how tight to lift it, and the skill to not go too deep where underlying important structures could be harmed is essential to the best outcome and longevity of the procedure. After more than a quarter of a century performing face lifts and seeing the results of other less-trained surgeons, my advice is: Always go with the best when it comes to facial rejuvenation.
Remember it is the skill and experience of the surgeon that counts—not the name! Great surgeons get great results, period. The best way to find one is to start with a Board Certified Plastic Surgeon or Board Certified Facial Plastic Surgeon with extensive experience over many years. Ask to see “before and after” photos, especially long term ones. Ask the number of times you will be seen afterwards by the surgeon rather than a medical assistant. A good place to start is “Find a Doctor” on the American Society of Plastic Surgeons or American Society of Aesthetic Plastic Surgeons web sites.
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Board Certified Plastic Surgeon
Facelifts with local anesthesia.
There are many variations and modifications of facelifts. My surgery experience spends more than 25 years. After performing and observing the various facelifts of many plastic surgeons I believe that the best results depend upon the surgeons on experience and his personal results.
Modified facelifts such as the #litelift work great with local in the office
Facelift anesthesia options: Local or General
Face lift under local anesthesia
1. Facelift under general anesthesia done at outpatient surgical center
2. Facelift done under local anesthesia with nerve blocks and ORAL sedation only. This type of lift is done in the office.
Facelift under local anesthesia? YES! it is possible #facelift #drmesa #doctormesa
Facelifts performed under local anesthesia with "COCKTAIL" usually means that the patients are given heavy oral sedatives like Valium, Percocet, Oxycodone, etc. to significantly sedate the patients while the procedure is performed under "local anesthesia". This oral sedation can significantly affect the safety of the procedure since the patients may loose their airway (ability to breath).
Patients interested in undergoing a facelift under local anesthesia should ask their surgeons if in deed they are using a "cocktail" and what kind of oral sedatives are given to them during the procedure.
In my practice I perform facelift under pure local anesthesia with no oral sedation ("cocktail") in patient candidates.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.