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 16

Temporal Lifting Would Be a Combined Procedure

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for an excellent question. Many patients are surprised to learn that a facelift is designed to improve the middle and lower portions of the face, but not the brow or forehead. I will often combine fat grafting to the temple areas to provide a more comprehensive outcome, and I believe you could benefit from this technique. The advantage of using a patient's fat as a facial filler is that it will last much longer than a synthetic dermal filler. Good luck!  

Toronto Plastic Surgeon
4.8 out of 5 stars 71 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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.

Robert M. Freund, MD
New York Plastic Surgeon
4.8 out of 5 stars 34 reviews

SMAS face lift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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
4.8 out of 5 stars 157 reviews

SMAS facelift does not lift the temporal area near the eyes

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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.

​ No SMAS temporal and brow facelift, consider Silhouette InstaLift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Dear Italian1:

The SMAS (superficial musculoaponeurotic system) is a fibrous net around the soft tissues and muscles of the face and neck. The traditional SMAS facelift suspends this or tightens this layer of tissue to lift the upper neck, jowl and lower cheek upward. A high SMAS lift will bring it to the level of the cheek bone but not above it.

There are options to further lift or fill the temporal area without a brow or temple incision. These include:

  • Fat and filler grafting of the temporal fossa or the cup shaped depression just over the lateral cheek bone.
  • Suture suspension to the deep temporal fascia at the time of facelift
  • Sub-periosteal facelift (recognizing the limitations of this procedure)
  • As of this post, the minimally invasive, Silhouette InstaLift dissolving suspension and collagen stimulating sutures to further elevate brow, temporal cheek, face and neck soft tissues without surgical incisions.

All of these procedures are advanced techniques, so please consult with an experienced and talented Board Certified Plastic Surgeon for your best evaluation and recommendations. All the best!

Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
4.9 out of 5 stars 103 reviews

Facelift for the Temple Crow's Feet Area

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Congratulations on deciding to have a facelift.  That is a big decision.  To answer you question, it is possible to configure the incisions for any facelift so that the side of the eye area extending out into the temple are can be tightened and rejuvenated.
I hope that helps.
Best regards.

Brian Windle, MD
Kirkland Plastic Surgeon
4.9 out of 5 stars 64 reviews

Temporal aging

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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

SMAS facelift to lift the temple regions

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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
4.9 out of 5 stars 57 reviews

A facelift does not address the temple areas

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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
4.9 out of 5 stars 518 reviews

SMAS facelift and the Temporal region

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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
4.9 out of 5 stars 52 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.