Can a high smas lift lift my upper cheeks? How can I find a doctor who does this procedure?
Doctor Answers 4
Can High SMAS Lift Lift the Upper Cheeks?
I routinely do a high SMAS type of facelift specifically with the goal in mind of achieving a better lift in the upper/mid-face region. The goal is to eliminate as much as possible what is referred to as lid/cheek disjunction. This is what appears as a dark crescent under the lower lid which interrupts a nice smooth youthful transition from the lower lid into the cheek. This lack of a smooth transition is major contributor to the appearance of aging in the face, and obtaining a smoother transition from the lid to cheek is one of the goals of a high SMAS type of lift. We also know today that the descended SMAS layer is not the only reason that lid/cheek disjunction occurs over time. Part of the problem is also volume loss or fat atrophy, so in most facelifts I am also doing autologous fat transfer to replace lost volume in the upper cheeks and achieve enhanced smoothing of the lid cheek junction.
Without photos it is really impossible to give you any specific guidance on what procedure you might benefit from most at this point. Given that the sub-periosteal procedures are known for the prolonged post-operative swelling it would probably be best to wait a year before embarking on any further facial rejuvenation procedures. An in person evaluation and thorough discussion of your goals will be essential to devising a surgical plan that has good potential to achieve the result you are looking for.
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