Lip Augmentation with SMAS Graft

Question

What is Lip Augmentation with SMAS Graft? Please explain more. How is it done? How is the result? How long does it last? How much does it cost? Is it popular in all countries or just is done in United States?

Raffy Karamanoukian, MD, FACS · Answer

SMAS grafting is a secondary procedure that cannot exact the same details as Restylane or Juvederm. I would use the French Method for lip augmentation using Restylane or Juvederm. Best, Dr. KaramanoukianRealself100 Surgeon

Andrew P. Trussler, MD · Answer

SMAS (superficial musculoaponeurotic system) is a deeper layer of the face which lays between the skin and the facial muscles. It is commonly elevated in certain types of facelifts and provides support for the facelift elevation. SMAS excess can removed in facelift techniques and this excess can be utilized for grafts. It does contain fat along with fibrous tissue and collagen, and can be shaped and inserted in the lips. It does provide long lasting fill, but is limited in amount and of course is only offered as part of a sub-SMAS facelift.

	I hope this helps.

	Dr. Trussler

Otto Joseph Placik, MD · Answer

This is commonly performed at the time of a face lift. During this operation the SMAS (superficial musculo aponeurotic system) is exposed and typically tightened to create the lift. Some surgeons resect the excess SMAS and then use it to augment the lip. It is composed of a dense fibrous material that envelopes the superficial facial muscles responsible for expression. It is an excellent material to augment the lips because it is composed of your own tissues. However, it is difficult to predict how long it will last.

Steven Wallach, MD · Answer

The SMAS is as thin layer of tissue just superficial to the facial muscles. This is often manipulated during a facelift. Some of it can be cut off and used in the lip as a filler. I have done it a few times, and it works very nicely.

Lip Augmentation with SMAS Graft

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