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A SMAS Facelift, also known as a rhytidectomy, is a surgical procedure that restores a youthful appearance to the lower-third portion of your face, addressing problems such as sagging skin, excess fat, loss of volume, jowls, and other age-related cosmetic concerns. It creates a tighter and more youthful appearance by manipulating the tissues deep within the skin’s layers, making deep-seated modifications.

Dr. Steven Pearlman is one of New York’s most esteemed facial cosmetic surgeons and he invests the time and care into a careful examination of your facial anatomy and a discussion of your cosmetic goals to curate the ideal SMAS facelift treatment plan for you.

What can a SMAS Facelift achieve?

SMAS refers to the tissues deep within the skin and subcutaneous layers that comprise one of the most crucial support structures for your face (called the superficial muscular aponeurotic system). The natural process of aging leads to a gradual loss of support and elasticity in the epidermis and SMAS membrane, leading to sagging tissues, drooping cheeks, deeper jowls, prominent nasolabial folds, and often a double chin.

A SMAS facelift involves techniques that tighten the underlying muscles, remove excess fat, and trim excess skin tissues. Thus, it addresses various advanced signs of aging, such as loss of volume, drooping cheeks, sagging skin and fat tissues, jowls, hollow cheeks, nasolabial folds, and loose skin under the jawline. Consequently, your skin looks smooth and taut, taking years off your appearance.

Older woman with minimal signs of aging

How do I know when I’m ready for SMAS Facelift?

You’re very likely a suitable candidate for SMAS facelift if you’re experiencing moderate to severe signs of aging, such as deep nasolabial folds, wrinkles, facial creases, sagging skin, etc. Place your hands along the middle of your jaws with your thumb hooked beneath the jaw, and then gently pull your skin upward towards your ears. If you like how taut and smooth your skin now appears, you should consider a SMAS facelift. The SMAS facelift is most popular amongst patients in their late 40s and early 50s, but this procedure also helps patients who are a great deal younger.

Dr. Pearlman will carefully examine your facial anatomy and discuss your goals for the procedure to determine if it or another style of facelift would be most beneficial. But broadly speaking, you’re a suitable candidate if you:

  • Have moderate to severe signs of aging, including facial creases, wrinkles, and sagging skin
  • Want to look and feel a lot younger
  • Are in good physical and mental health
  • Don’t smoke, or are willing to stop smoking before and after the surgery
  • Have realistic expectations about the procedure results.

What can I expect from the SMAS Facelift?

Dr. Pearlman will curate a detailed treatment plan after discussing your cosmetic goals and examining your facial anatomy. During the procedure, He will place an incision that begins in the hairline, extends behind the ear, and into the hair. Your skin is lifted to isolate it from the underlying SMAS layer, and the underlying tissues are trimmed and manipulated to produce the desired results, and the facial skin is then lifted upwards. Fat deposits are removed, and the skin is trimmed to produce a taut and smooth appearance. Finally, the incisions are sutured, and you can begin the recovery process.

What is recovery from SMAS Facelift like?

You will be provided a full postoperative recovery guide at our practice. You can expect swelling and discomfort for a few days, manageable with prescription medications. You’ll likely have to wear compression stockings for 5 to 10 days, and the sutures will be removed within about a week. You should avoid strenuous activities for at least 6 weeks, but you can resume most normal activities in two weeks.

Why choose Dr. Pearlman?

Dr. Pearlman is one of the most reputable double board-certified facial plastic surgeons in NYC, having performed hundreds of successful facelifts. He aims to produce natural-looking results that don’t betray any signs of cosmetic manipulation and carefully curates every treatment plan according to your own individual needs, ensuring unique but dependable results.