Thank you for your question regarding the smile lift procedure. It's understandable to have concerns, especially when it involves surgical manipulation of facial muscles. Here’s some information that might help you make an informed decision: Procedure Overview: A smile lift typically involves surgical adjustments to the muscles around the mouth to create a more lifted appearance. This may involve cutting and repositioning certain muscles, such as the depressor anguli oris. Safety and Risks: As with any surgical procedure, there are risks involved. These can include infection, scarring, asymmetry, and changes in muscle function. The risk to nerves is also a consideration, as these are closely associated with facial muscles and can affect expression and sensation. Long-Term Effects: While many patients are satisfied with their results, possible long-term side effects can include persistent asymmetry, changes in muscle function, or nerve damage, which could affect facial expressions. Scar formation is also a consideration, though you mentioned this is not a primary concern for you. Consultation and Expertise: It is crucial to consult with a board-certified plastic surgeon who has extensive experience with facial procedures. They can provide a detailed assessment of your facial anatomy and discuss the potential risks and benefits specific to your case. Alternative Options: Depending on your goals, there might be non-surgical alternatives or less invasive procedures that could achieve a similar effect with reduced risk. Discuss these options with your surgeon to see if they might be appropriate for you. Ultimately, the decision to undergo a smile lift should be made after thorough consultation with a qualified professional who can guide you based on your individual anatomy and aesthetic goals.