Overview of the surgery: 

 SMAS Facelift, is a surgical procedure that targets the lower two-thirds of the face. It is performed to address sagging skin, excess fat, jowls, and loss of volume in the cheeks. It is less invasive than a regular facelift, which targets the superficial skin of the face, and recuperation is faster.  

The SMAS (superficial muscular aponeurotic system) is a layer of tissue deep within the skin and subcutaneous tissue. It is one of the most important support structures for the face. The manipulation of this anatomic structure changes the appearance of the face. 

As your facial skin begins to age, there is a loss of elasticity in the epidermis and well as the SMAS membrane. This loss results in sagging cheeks along the jaw bone, creating fleshy jowls and often a double chin. Cheek fat will then sag forward to increase the appearance of the nasolabial folds. 

An SMAS facelift counteracts the signs of aging by tightening the muscle, removing fat, and trimming excess skin. An SMAS facelift is effective in correcting the following: 

  • Sagging in the midface 
  • Hollow cheeks 
  • Nasolabial folds 
  • Jowls 
  • Sagging fat 
  • Loose skin and fat under the chin and jawline 

A facelift may remove or reduce the signs of aging but, over time, they will gradually reappear. 

Preparation Prior To Surgery: 

• Medical history assessment (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation. 

• Avoid smoking for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process. 

• Stop drinking alcohol, a week before the surgery and throughout your recovery period.

 • Taking any medications should be avoided such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery, and also avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding. 

Operation Time: 

The procedure usually takes 4-6 hours. 

During the procedure: 

After you have been prepared for surgery, you are given anesthesia, usually intravenous sedation (IV), and a local anesthetic. Your face will be marked for the placement of incisions. An incision is made at your temple, above the hairline. It will extend downward along the natural creases of the skin but curve behind the ears. The facial and neck tissue and muscle beneath the skin will then be lifted and rearranged into a higher position and excess skin will be removed. The skin will be redraped over the face and the incisions will be closed with sutures. Most of the scars will be hidden within the hair and the normal creases of the skin.1 

The SMAS facelift may take several hours to complete, depending upon the extent of the procedure. You will have a head dressing and drainage tubes after the procedure. You should expect to have some swelling, bruising, numbness. and discomfort for a few weeks. You should be able to return to work after two to three weeks and resume exercise and daily activities after healing is complete. 

Type of Anesthesia use: 

The surgery is done under general anesthesia 

Hospital/clinic stay: 

1 nights 

Days to stay in Thailand: 

7-14 days. 

Risks and Complications: 

Facelift surgery is a very common procedure and complications are rare, but can 

happen The risks of the procedure include the general risks of surgery and anesthesia, such as reactions to medications, breathing problems, bleeding, infection, and blood clots. You may also have nerve damage to your facial muscles, pain, numbness, and wounds that don’t heal. Some people are unhappy with the outcome due to scarring, irregular contours, or changes in skin color.. This includes prominent, red scars, bleeding under the skin, infection, hair loss surrounding the scars, nerve damage, numbness, asymmetrical features and blood clotting. 

Recovery Period:  

Postoperatively patients may have a drain in overnight as well as head and neck wrappings. After these are removed, patients are often required to wear a removable chin strap for several weeks. Sutures are usually removed 7-14 days after surgery. Usually it takes 2 to 3 weeks before most patients feel socially presentable