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

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

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.

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 

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.

No, eye bags are treated with a blepharoplasty procedure not a facelift procedure. For many examples of high SMAS face and neck lift results, please see the link and the video below. Some of these patients have had blepharoplasty performed on them In addition to the facelift procedure

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

Hi, I have performed many SMAS facelifts for over 30 years and have performed many minimally, invasive SMAS facelifts and blepharoplasties (eyelid surgeries).  Lower eyelid bags are isolated areas that require a lower blepharoplasty to properly address.  An older solution is done by making an incision below the lower eyelid lash line that extends outward along the outer eye socket.  While this can be performed at at the same time, just like a transconjunctival lower eyelid surgery, as the SMAS facelift....they are and remain separate procedures.  The reality is, there are many different ways to perform a facelift from incision length, incision placement, level of tissue dissection (skin only, SMAS, Deep Plane, Subperiosteal), different degrees of tissue undermining, how to lift and support (imbrication versus plication of the SMAS layer), how much excess skin to trim, is excess fat going to be reduced and finally will the overall shape of the face be made more feminine or masculine (while avoiding the over pulled, windswept appearance).  Price is determined by the reputation, location and experience of the Facelift Surgeon.
 In my humble opinion however, there are some basic requirements that must be met in order for a facelift to be "effective", yielding "aesthetic pleasing" and "naturally attractive" results.  These include: 
 1. Some type of incision either curved around the front (preferred) or straight in front of the ear.  This is how excess skin is removed which is not possible with an incision behind the ear alone.  If you have so little excess skin on the face that "none" needs to be removed you are not a candidate for a facelift in the first place.
2. The facelift must address correction and softening of the "jowls" using a long lasting and effective technique.  If you have "jowls” these are sagging facial tissues and the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
3. Facial shaping must be combined to properly shape the cheeks, chin, jaw line and lips for feminizing or masculinizing the face as the case may be.   If you have "jowls” these are sagging facial tissues and the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
 My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
proper SMAS Imbrication technique
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
 I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.  Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
 A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.  I have found placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.Hope this helps.