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Can an SMAS facelift accelerate aging?

sandiego2Dec 1, 2025
I am 52 and starting so show a slackened jawline and jowls. I think I would be a good candidate for an SMAS facelift, but I have a couple of questions: How much will the procedure damage blood vessels and reduce blood supply to the face? Is an SMAS or a deep-plane facelift safer in this regard? Thank you addressing my concerns

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Dr. Jeffrey Lisiecki, MD
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Dr. Jeffrey Lisiecki, MD
Board Certified Plastic Surgeon
5.0 | 37 Reviews
Answered on Dec 7, 2025
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Dr. Jeffrey M. Darrow, MD
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Dr. Jeffrey M. Darrow, MD
Board Certified Plastic Surgeon
4.9 | 171 Reviews
Answered on Dec 7, 2025
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More SMAS Facelift Questions

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Ali Riza Öreroglu, MD

A thorough in-person evaluation is essential to provide an accurate recommendation. Based on your age and photos, a deep plane facelift combined with complementary procedures could significantly rejuvenate your facial appearance. I would suggest considering a lip lift to restore youthful lip...

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Jeffrey Lisiecki, MD

I see patients like you all the time! In your mid to late 30s and could anatomically have a facelift but aren't ready for one quite yet and want to try to hold off for a couple of years if possible. While you are seeing the beginning of tissue laxity, part of what you are seeing is also fat...

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George Marosan, MD

Thank you for your question and photos. Although a full face before and after front and sideview photos would be very helpful, from this limited view, I see two areas of concern. 1, the mandibular cutaneous ligaments were not released, creating these tension lines when you smile and 2, you have...

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Jeffrey H. Spiegel, MD

It is possible that the lift you had done was simply not enough for what you needed. The photos are very cropped so we cannot get a complete picture of you, but, there may be some in-office procedures that can help. More information (or ideally an in person consultation) is key.

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Jeffrey M. Darrow, MD

The redundancy that you see is secondary to platysmal muscle underneath your skin. One option for you to consider would be an incision just underneath your chin, suturing/partial resection of your platysma muscle in the midline to tighten it and remove the redundancy. Without this redundant...

+3 answers
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Jeffrey M. Darrow, MD

As a general rule, in patients with a fuller or rounder face, the SMAS is trimmed so the overlapping of the SMAS doesn’t add additional fullness to an already full face. In patients with volume depletion of their face, the overlapping of the SMAS can accentuate the facial volume resulting in a...

+5 answers
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