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1 year post SMAS - ridges near eyes, prominent buccal fat pads - non invasive ways to improve this? (Photos)

alisoMay 5, 2025
I am s/p midface lift. I am left with ridges under my temples, lateral to my eyes. And what I think are my buccal fat pads are very prominent. I had SMAS; it seems to be pulled mostly laterally. I previously had filler( 4 years ago) over my cheeks, 1/2 vial of Juvederm that varies in size. My face looks almost square-shaped. This was a year ago. Can anything not too invasive be safely done?

Answers (1)

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Jeffrey H. Spiegel, MD profile photo
Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 383 Reviews
Answered on May 9, 2025
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Jeffrey M. Darrow, MD

The redundancy that you see is secondary to platysmal muscle underneath your skin. One option for you to consider would be an incision just underneath your chin, suturing/partial resection of your platysma muscle in the midline to tighten it and remove the redundancy. Without this redundant...

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All facelifts involve elevating the facial skin a certain distance, depending upon the patient’s needs. Where they vary is what is done with the next layer underneath the skin which is called the SMAS and is a strong fascia layer . Suturing the mobile SMAS upward to the fixed SMAS is a SMAS p...

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