Can a high smas facelift, lift corners of upper lip/corner of mouth? Can it improve or reverse a bad midface lift?

Doctor Answers 7

SMAS lift

I'm sorry about your disappointing results.  To really help answer your question, an in person exam or at least several pictures would be needed.  But, SMAS manipulation can alter different aspects of the facial contour depending on the vector of pull applied.  There are many different techniques that could be employed to correct sub-optimal facelfit results.

Mount Airy Plastic Surgeon
5.0 out of 5 stars 67 reviews

SMAS Facelift

Hi There, 

Traditionally a high SMAS deep plane facelift can provide lift to the midface if an extended dissection is performed. An extended dissection can lift and alleviate the nasolabial folds, marionette lines, and corners of the mouth. This can often provide a lasting result with natural contours. 


Javad Sajan, MD

Javad Sajan, MD
Seattle Physician
5.0 out of 5 stars 8 reviews

Lifting corners

I agree with the surgeons below.  I would only add that the SMAS can be used in many different ways to address specific concerns such as areas of volume loss, jowling, neck laxity, and other issues.  I always taylor what I do with the SMAS to what I am trying to achieve.  I have even aplied different approaches to different sides of the same patient.

Find a surgeon who does not do cookie cutter facelifts.  Ask what the options are to correcting your concerns. Ask what types of SMAS procedures he/she has performed. Also ask if they perform any other augmentation procedures with facelift such as fat injections since this may..and I stress MAY, be appropriate I correcting your midface lift concerns.Good luck.

Edward J. Ricciardelli, MD
Wilmington Plastic Surgeon
5.0 out of 5 stars 24 reviews

SMAS face lift - can it reverse a bad mid-face lift?

Thank you for asking about your midface lift and a SMAS lift.

  • I am so sorry you had a mid-face lift that wasn't pleasing.
  • To improve the result, you need a careful examination to determine exactly what is wrong.
  • Then the correction needs to address those specific problems.
  • Sometimes, after a mid-face lift, things can't be improved, sometimes a 'designer' approach is needed, individualized to what didn't work out for you and yes, sometimes a high SMAS lift will improve the result
  • However, lifting the corners of the upper lip is much more safely done with Botox than with surgery.
  • If this is the result you want to improve, please try Botox first.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Can a high SMAS facelift lift the corners of the mouth?

Thank you for sharing your question.  Though nothing replaces an in-person examination it is possible to subtly lift the corners of the mouth with a high SMAS lift. I would see a series of ASPS board certified plastic surgeons in consultation to have an assessment of your tissues made to obtain the best information.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 38 reviews


A high SMAS facelift can lift the corner of the mouth a little bit.  You would have to be seen in person to determine if it would help the midface problem.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Midface lift

An experienced plastic surgeon can help you see photos and review options to correct mid facial issues. Whether a high SMAS or traditional lift can make a difference, it really depends on a thorough exam and discussion.

William C. Rigano, MD
Dayton Plastic Surgeon
4.8 out of 5 stars 9 reviews

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.