Full/SMAS Facelift

A SMAS facelift, also known as “the two-layer facelift”, is the most extensive technique and provides the best results for patients with extreme skin laxity and soft-tissue descent. Dr. Ali performed his first SMAS lift 30 years ago, and throughout the years has done thousands. SMAS lifts are his favorite operation, as he feels they offer the most durable and satisfying results for his patients.

About the SMAS facelift

The superficial muscular aponeurotic system (SMAS) is a layer of tissue that lies deep within the facial skin, where it helps to support the structure of the face. As we become older, the SMAS membrane weakens and loses its elasticity, which can result in sagging cheeks, exaggerated nasolabial folds, lax jowls, and a double chin. A SMAS facelift focuses on this membrane, correcting these problems by tightening the muscles and reducing fat and excess skin. This procedure is often combined with a neck lift.

What can a SMAS facelift address?

  • Mid-face sagging
  • Lax jowls
  • Excess facial skin and fat
  • Hollow cheeks
  • Loose, submental skin and fat 

How do I know which facelift technique is right for me?

With the wide array of facelift techniques available, it can be overwhelming to figure out which one is ideal for your aesthetic goals. The best thing to do is to discuss your options with a facelift expert such as Dr. Ali Izadpanah.
As a triple board-certified doctor in Plastic Surgery, Facial Plastic Surgery, and Head and Neck Surgery, Dr. Ali brings innovation and progression to his facelift techniques. He uses several different methods to decide which specific procedure will get the best results for your unique facial structure. He takes many factors into consideration, from your face shape and structure to your personal goals to how much skin laxity you have. He will provide you with multiple options for the best outcome.

Recovery and results

Immediately following your SMAS facelift, a special cooling mask will be placed on your skin to help minimize bruising and swelling. In addition, small tubes may be inserted beneath the skin to prevent fluid accumulation. (The surgical dressing can typically be removed the day following surgery.) Dr. Ali may recommend an overnight stay at one of his SurgiCentre’s recovery suites, where you will be taken care of by a registered nurse who specializes in plastic surgery recovery. Moreover, if you live within 20 miles of our facility, Dr. Ali will offer a visit to your home by a nurse who is trained to assist you with post-operative recovery.
The nurse will change any dressings, monitor your recovery, assist you with your medication, and provide Dr. Ali with an update on your consultation. This is part of Dr. Ali’s signature concierge surgical and recovery experience. Most sutures are removed 5 to 7 days after surgery. Peak swelling takes place within 24 to 48 hours, with moderate swelling may lasting for weeks. We recommend elevation of the head (even during sleep) to reduce initial swelling. You can expect to have some numbing, swelling, bruising, and discomfort for about two weeks, and around this time you will be able to return to work and continue exercise. Most of the incisions will be well-hidden within the natural creases of the skin and hair.

Candidates for a SMAS facelift

  • Are in their 40s to 60s and have moderate facial sagging
  • Still have fairly good skin elasticity
  • Must be generally healthy non-smokers
  • Understand what a SMAS facelift can accomplish

Dr. Ali Izadpanah, 
Board-Certified Plastic Surgeon

Dr. Ali Izadpanah, a renowned triple board-certified plastic surgeon based in Montreal, is celebrated for his unparalleled expertise and unwavering commitment to delivering exceptional patient care.
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