Had Smas Added to my Lips 4 Weeks Ago and I Can't Smile Much, Can It Be Removed

Question

Thomas Fiala, MD, FACS, FRCSC · Answer

I used to use SMAS grafts for lip augmentation.  Early on, they can be quite swollen, which may make movement difficult.  While it is possible for them to be removed if they haven't yet healed in place, it can be difficult.  For now, since it's so early post-op, I'd recommend doing some massaging and stretching exercises of the lip.  

	Hang in there!

Karol A. Gutowski, MD, FACS · Answer

While it may be frustrating not to be able to smile, it may be due to swelling or bruised nerves rather than the SMAS. It would be best to see your plastic surgeon to discuss more.

Francis R. Palmer, III, MD (retired) · Answer

SMAS is a tissue fascial layer in the face.  I doubt this tissue would be able to be removed intact as it has most likely already undergone some absorption and scar formation.  I prefer to use Alloderm Lip Implants for a more predictable Lip Augmentation.  Ask the Surgeon who placed the SMAS tissue, in your lip, if you can gently massage the lips to make them softer...than I'd have Alloderm placed for a long lasting augmentation that's soft and supple.

Edward Lack, MD (retired) · Answer

SMAS lip augmentation can be removed with difficulty soon after a procedure. Usually the implant softens with time.

Had Smas Added to my Lips 4 Weeks Ago and I Can't Smile Much, Can It Be Removed

Answers (4)

Answer: SMAS lip augmentation can be removed with difficulty soon after a procedure

Answer: SMAS lip augmentation can be removed with difficulty soon after a procedure

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Everything you need to know about Lip Fillers

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

Had Smas Added to my Lips 4 Weeks Ago and I Can't Smile Much, Can It Be Removed

Answers (4)

Answer: SMAS lip augmentation can be removed with difficulty soon after a procedure

Answer: SMAS lip augmentation can be removed with difficulty soon after a procedure

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Recommended reading

Everything you need to know about Lip Fillers

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