SMAS Facelift Information Guide


Facelift surgery is an excellent option for addressing the signs of facial aging. This surgical procedure targets the superficial musculoaponeurotic system (SMAS), which helps to lift and tighten the underlying structures of the face. By addressing both the skin and deeper facial tissues, the SMAS facelift provides more comprehensive and long-lasting results.

Before considering this procedure, it is crucial to have a thorough discussion with your surgeon. They will explain the details of the surgery, including the techniques involved, potential benefits, and risks. Understanding the procedure and its implications will help you make an informed decision about whether the SMAS facelift is right for you.

This information guide aims to provide you with a comprehensive understanding of facelift surgery. By having a detailed knowledge of the procedure, you can approach your facelift journey with more confidence.

Understanding the SMAS

The Superficial Musculoaponeurotic System (SMAS) is a foundational layer beneath our skin comprising muscles and connective tissues. This structure plays a pivotal role in maintaining facial integrity and movement, serving as a vital element in facial ageing. As we age, the SMAS weakens and loses elasticity, causing loose skin and wrinkles.

Navigating Facial Ageing

With age, the SMAS layer naturally starts to sag which contributes to attributes like jowls, sagging cheeks, and neck laxity.  The degree of severity of these changes differs for each person, and is influenced by factors like genetics, skin type, sun exposure and lifestyle choices.

Anatomy of the SMAS Facelift

Small incisions are strategically placed around the natural folds of your hairline. During the procedure, the surgeon delicately uplifts and refines facial contours by focusing on the SMAS layer. 

Embracing Nuanced Enhancements

By addressing the age-related changes within the SMAS layer—jowls, cheek firmness loss, and neck laxity—the SMAS facelift aims for a subtle change that accentuates each person’s natural features, which of course is unique for everyone.

The Ideal Candidate

The right candidate isn’t defined by age but by their understanding of the procedure, good health, realistic expectations, and a desire for nuanced improvements. A personalised consultation with a plastic surgeon will help determine if the SMAS facelift is suitable for you.

It’s essential to follow your surgeon’s pre-surgery instructions, which may include avoiding certain medications that can increase bleeding risks, fasting before surgery, and quitting smoking beforehand. Make sure to arrange for someone to drive you home


You should always have a comprehensive consultation with an experienced plastic surgeon. During this consultation, the surgeon will do an assessment, provide education about the procedure and have an open discussion about your goals and questions. It’s a collaborative approach where the surgeon’s expertise meets the patient’s goals to determine a tailored treatment plan.

The Healing Process

After a facelift, prioritise proper facelift recovery for optimal healing and results. Initially, rest is crucial; elevate your head while sleeping and manage discomfort with prescribed medication and cold compresses. Follow wound care instructions meticulously, maintain a healthy diet, and stay hydrated. Gradually resume light activities as advised, attend follow-up appointments, and adhere to scar care guidelines.

Expect swelling and bruising to diminish over time, avoiding sun exposure and protecting your skin. Long-term, embrace a healthy lifestyle, avoid smoking, and be patient; final results evolve gradually. Contact your surgeon for any concerning symptoms and trust the process, understanding that complete healing may take several months, however, you can typically get back to your routine within 6 weeks. 

Acknowledging Risks and Considerations

Every surgical procedure has its share of risks, which may be significantly mitigated depending on how experienced your surgeon of choice is. Understanding these risks and considering individual factors aids in making informed decisions aligned with personal needs.

In addition, it’s important to be aware of the financial considerations associated with the SMAS facelift. Costs may vary depending on location, surgeon fees, and any additional procedures or treatments needed for optimal results. Make sure to discuss all costs and payment options during your consultation.


Before undergoing a SMAS facelift or any other facial procedures, it is crucial to conduct comprehensive research and consult with a qualified plastic surgeon to discuss your goals extensively. By reaching out to a knowledgeable plastic surgeon, you can receive expert guidance tailored to your specific needs and make an informed decision about the best course of action. 

Remember, a SMAS facelift is just one option. So take your time, gather all the information you need, ask questions, and make an informed decision that aligns with your goals and expectations. With the right mindset, proper aftercare, and realistic expectations, you can enjoy long-lasting results.