SMAS or MACS for a normal-weight 33-year old female with only early minor signs of aging? Would SMAS be an overkill for me?

Question

I have a slightly drooping skin, large downward stretching pores around my nose (which I fear will get stretched even more after facelift), early wrinkles, early sign of jowls and a slightly fatty, round chin (which makes my head look like a potato). I also have flat cheeks with no cheekbones, with odd depressions (lack of fat?), so I'll probably need some contouring/fillers as well. I also have asymmetrical corners of mouth: is MACS or SMAS better for structural facial asymmetry? Thank you!

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and an in person evlauation and examination is needed before making a recommendation.  That said based on what you have said and given your age you are probably a better candidate for fillers or implants then a facelift and that is why an examination is so important.Dr. Corbin

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facelifts
over the past 30 years. Non smiling photos of your face from the front and side would help in the evaluation.  I have performed quite a few on our minimally, invasive SMAS facelift on women with premature "jowl" formation that were in their late twenties and early thirties.  These women invariably had flat cheeks in the front of the face allowing early sagging of facial tissues towards the nose and mouth creating nasolabial folds and "jowls".  I tell potential facelift patients to think of creating a more beautiful or handsome face by working on three tissue levels.  The bony structure should be appropriate to make a woman’s face heart shaped and a man’s face chiseled and angular which is described below.  Next the fatty layer should be reduced or shaped allowing the shape to be seen and finally excess SMAS and skin evidenced by the presence of jowls) should be removed from the face and neck.  Following the beauty principles
outlined in my book on face and body beauty, women look the most feminine,
youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks
that are full and round in the front.  Cheek augmentation using a dermal filler
(I prefer Restylane Lyft) or with cheek implants for a permanent enhancement
will create full, round cheeks anteriorly that will feminize the entire face.   If you have "Jowls", these represent sagging facial
tissues and are an indication for some form of a SMAS facelift.  The
underlying SMAS layer, of the face, must be dissected, lifted, trimmed and
re-sutured. The excess skin is then removed and the facelift incisions closed.  My most popular facelift is the
minimally invasive, short incision facelift that has all the benefits of more
invasive facelifts (traditional, mid-face, deep plane and subperiosteal
facelifts) but with these added benefits:

•very small incisions

•minimal tissue dissection = less
bruising and swelling = rapid recovery

•can be performed in 90 minutes or
less, with or without anesthesia

•no incisions within the hair = no
hair loss

•excess fat can be removed

•excess skin removed

•cheeks, chin and jaw line can be
augmented with dermal fillers (I prefer Restylane Lyft) or facial implants

•most patients fly back home to parts
all over the world in as little as 3 days post-op

Hope this helps.

SMAS or MACS for a normal-weight 33-year old female with only early minor signs of aging? Would SMAS be an overkill for me?

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SMAS or MACS for a normal-weight 33-year old female with only early minor signs of aging? Would SMAS be an overkill for me?

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Everything you need to know about SMAS Facelift

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