SMAS facelift Additional question: is it possible to achieve any lifting of the temple area, with a SMAS facelift? (Photo)

I am planning this procedure for September 2014. I am wondering if it is possible to achieve any lifting of the temple area, with a SMAS facelift. Particularly just above the outer cheek bone, at eye level. I need this but do not want to get another brow lift. I had one in 2004. It lifted forehead, brows and temple beautifully! Loved the results, but I have lost some of the lift. Especially in the temple area. Problem is I had scalp itching that still exists.

Doctor Answers 13


A SMAS facelift in my experience will lift the temple area slightly, lift the skin around the cheek area, improve the marionette lines and jowls and tighten the neck.
Different physicians have different ideas of what a facelift will include in the procedure, but in my experience including these areas as described yield the best results.

New York Plastic Surgeon
5.0 out of 5 stars 27 reviews

SMAS face lift

An SMAS facelift by itself will not lift the temporal area, since the operation was not designed to do that. An  extended incision up into the temporal area from the facelift can give a slight amount of tightening in that area. A temporal lift can also be performed. For many examples of facelifts, please see the link below.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.5 out of 5 stars 107 reviews

SMAS facelift does not lift the temporal area near the eyes

Thank you for your question.  Based on your photograph you look excellent and I question seriously whether you need a facelift.  Because you have had previous brow lifting and any attempt to lift the temple area could distort your hairline and change your look.The SMAS facelift cannot be done in the temple area because the SMAS does not extend that far and most people and the risk of injury to the facial nerve to the forehead and upper eyelid muscles is a serious risk.

Temporal aging

A facelift will not produce a lift at the level of the temples. A browlift would be a better choice. Since you are not looking to have another browlift, consider Botox, which can be used to create a more pronounced eyebrow arch, or filler/ fat grafting, which can address temporal hollowing.

Lara Devgan, MD, MPH
New York Plastic Surgeon
5.0 out of 5 stars 9 reviews

SMAS facelift to lift the temple regions

A SMAS facelift works by lifting the submuscular aponeurotic system of the face. The layer is in continuity with the platysma neck muscles and the deep fat plane in the face. It does adhere to the zygomatic bone. Therefore, it offers no lift to the temple region. However, it can be combined with a temple incision by which a lateral brow lift can be made. 

Jose E. Barrera, MD, FACS
San Antonio Facial Plastic Surgeon
5.0 out of 5 stars 30 reviews

A facelift does not address the temple areas

A face lift is not really a 'full face' lift, it addresses the lower face.  If you have concerns about the temporal area, the facelift incision can be extended upward or a separate temporal area for a lateral brow lift may be beneficial

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 371 reviews

SMAS facelift and the Temporal region

A SMAS facelift is really focused on the lower face and neck.  The temporal region is not really part of a SMAS or even a High SMAS facelift.  My advice to you is find a surgeon who likes doing lateral brow lifts either endoscopically or via smart hand technique.  

Jay Calvert, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 42 reviews

Limitations of SMAS lift

A SMAS Lift in and of itself will not address the temporal area.  Options include using filler in that area, or a temporal lift.  

Perrin Clark, MD
Houston Facial Plastic Surgeon
5.0 out of 5 stars 1 review

SMAS lift and temporal lifting

The typical SMAS facelift does not elevate the temporal area. You might consider filling the temples with fat or an HA filler. This may look more youthfull in the end that atually lifting it good Luck

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
5.0 out of 5 stars 89 reviews

Lifting temple area

Facelift would not lift the area you are concerned with.  Fat grafting to the temple area might be a great option for you.  Good luck with your procedure!
Dr. Konstantin

Konstantin Vasyukevich, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 32 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.