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How Long Will a SMAS Facelift Last?

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Shayla in KyAug 22, 2009

After a SMAS Facelift is performed, what prevents the sutures from slicing thru the tissues and the face dropping back down and what causes little fat pouches beside the side of the mouth after Facelift?

Answers (27)

From board-certified doctors and trusted medical professionals
Dr. Jason Roth, MBBS, FRACS
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Dr. Jason Roth, MBBS, FRACS
Specialist Otolaryngologist
5.0 | 111 Reviews
Answered on Aug 24, 2020
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Dr. Alejandro J. Quiroz, MD
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Dr. Alejandro J. Quiroz, MD
Plastic Surgeon
4.4 | 238 Reviews
Answered on Jan 3, 2020
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1 person found this helpful
Dr. Matthew Richardson, MD
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Dr. Matthew Richardson, MD
Board Certified Facial Plastic Surgeon
5.0 | 176 Reviews
Answered on Dec 10, 2018
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Dr. Jonathan Kulbersh, MD
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Dr. Jonathan Kulbersh, MD
Board Certified Facial Plastic Surgeon
4.8 | 140 Reviews
Answered on Oct 17, 2016
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Dr. Mike Majmundar, MD
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Dr. Mike Majmundar, MD
Board Certified Facial Plastic Surgeon
4.5 | 124 Reviews
Answered on Apr 1, 2016
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Dr. Andrew P. Trussler, MD
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Dr. Andrew P. Trussler, MD
Board Certified Plastic Surgeon
4.8 | 92 Reviews
Answered on Aug 30, 2015
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Dr. Austin Hayes, MD
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Dr. Austin Hayes, MD
Board Certified Plastic Surgeon
5.0 | 171 Reviews
Answered on Feb 17, 2015
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Dr. Larry S. Nichter, MD, MS, FACS
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Dr. Larry S. Nichter, MD, MS, FACS
Board Certified Plastic Surgeon
4.9 | 230 Reviews
Answered on Apr 16, 2012
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Dr. Jeffrey E. Schreiber, MD, FACS
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Dr. Jeffrey E. Schreiber, MD, FACS
Board Certified Plastic Surgeon
4.9 | 285 Reviews
Answered on Jan 5, 2011
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Dr. Vincent N. Zubowicz, MD
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Dr. Vincent N. Zubowicz, MD
Board Certified Plastic Surgeon
4.5 | 79 Reviews
Answered on Dec 7, 2010
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More SMAS Facelift Questions

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Jonathan Kulbersh, MD

It is possible to have skin color or skin tone changes after a facelift. This is would be very rare. Normally, a properly performed SMAS lift will give the appearance of better skin tone due to the tightening of the skin and underlying muscle layer, but skin tone itself is not affected. Skin...

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Jason Roth, MBBS, FRACS

The skin incisions for a facelift do not change that much depending on the type of facelift that is performed. A SMAS, deep plane, lower facelift, neck lift, skin lift procedure can all be done through exactly the same skin incisions. The incisions you describe are the fairly standard incisions...

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Matthew Richardson, MD

SMAS facelift costs will vary widely from one surgeon and market to another. This depends on factors such as the surgeon's experience, the local economic market conditions, the facility and anesthesia fees, and the specific techniques involved. Some patients and surgeons will factor additional p...

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Jonathan Kulbersh, MD

Any type of facelift surgery, not just SMAS facelift, will have a higher risk of complications when performed on a smoker. Smoking greatly increases the risk of vascular compromise during surgery, which can lead to necrosis (skin death). Smoking also interferes with the body’s healing ability. T...

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Jason Roth, MBBS, FRACS

When the SMAS muscle is carefully mobilised then lifted, redundant muscle and skin in the neck and jawline becomes smooth. As the tissue is lifted up as a continuous layer, it can be re-attached right up near the sideburn and in front of the ear. In more heavy-set individuals, sometimes there is...

+37 answers
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Jeffrey Lisiecki, MD

Great question--the blood supply to the skin of the face is preserved in a facelift of any type. SMAS and deep plane facelifts are essentially equal in this regard--neither technique has been definitively shown to have better results or longevity than the other.

+2 answers
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