Can "High" SMAS correct under eye bags and jowls?

Question

I only have one eye bag. One doctor I saw said I will need facelift and separate lower blepharoplasty. Another said with high SMAS the eye bag can be fixed without the separate lower bleph. Can this be done? Can anyone please give me a layman's idea of how? Please! and thankyou.

Alejandro J. Quiroz, MD · Answer

Thank you for  your question.   A high SMAS  face lift will not correct the lower eyelid deformity but it will make it less apparent.   A plastic surgeon with face lifts experience can help you determined if the result with the face lift will satisfied you. Also the SMAS suspension will help the jowls

Lucian Ion, FRCS · Answer

Thank you for your question. Your specific situation is most likely the reason for the different interpretation of the outcomes.

In essence, the lower eyelid "bags" are the result of slight prominence of the lower eyelids combined with thinning of the tissues over the lower rim of the orbit and downward displacement of the buccal fat which decreases the projection of the front of the cheek.

Facelift surgery can reduce the excursion of the buccal fat and keep it more stable by tightening the SMAS layer. This increases slightly the volume of the front of the cheek and already decreases the visibility of the lower eyelid "bags".

In combination with skin tightening, this can lead to a diminished visibility of the lower eyelid problems but is not really the equivalent of a lower eyelid blepharoplasty.

Another aspect that can make a difference to the appearance of the lower eyelids and sometimes improve the overall smoothness in the orbit area is the pattern of placement of the scar. When the facelift scar extends in front of the hair in the temporal region, the tightening that occurs lateral to the orbit opens the expression around the eyes and tightens some of the skin which is transmitted also to the lower eyelid. This aspect can also contribute to the impression that the lower eyelids have been corrected by the facelift intervention but is of course dependent on how marked is the problem around the eyes.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question.  The face and eyes are completely separate anatomies therefore the facelift improve the lax skin around the jawline (jowls).   The Lower Eyelid surgery improving the puffiness and fine lines under the eyes.  A facelift may improve your overall look therefore you may not be so fixated on the eye area and a high SMAS would soften but it would not completely smooth.  Please have a consultation with a board certified plastic surgeon to discuss further.  All The Best

P. Daniel Ward, MD · Answer

I do not think that you should expect a lot of improvement in your eyelid bags without performing a blepharoplasty. A facelift alone is unlikely to make a big difference--no matter which approach is used.

Robert Singer, MD · Answer

While a High SMAS can improve jowls, eyebags are usually improved with a blepharoplasty not a facelift, high SMAS or any other type.Keep in mind, that following the exact advice from a
surgeon on this or any other website who proposes to tell you what to do and technically how to do it without examining you, physically feeling
the tissue, assessing your desired outcome, taking a full medical history, and
discussing the pros and cons of the proposed operative procedure may not be in
your best interest. I would suggest you find a plastic surgeon certified by the
American Board of Plastic Surgery and ideally a member of the American Society
for
Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You
should discuss your concerns with that surgeon in person. 
Robert Singer, MD FACS 
La Jolla, California

Can "High" SMAS correct under eye bags and jowls?

Answers (7)

Answer: Eyelid bags fixed with high SMAS facelift?

Answer: Eyelid bags fixed with high SMAS facelift?

Answer: Can "High" SMAS correct under eye bags and jowls?

Answer: Can "High" SMAS correct under eye bags and jowls?

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Can "High" SMAS correct under eye bags and jowls?

Answers (7)

Answer: Eyelid bags fixed with high SMAS facelift?

Answer: Eyelid bags fixed with high SMAS facelift?

Answer: Can "High" SMAS correct under eye bags and jowls?

Answer: Can "High" SMAS correct under eye bags and jowls?

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Everything you need to know about SMAS Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.