Face and Neck Lift Article 6
SMASectomy involves removing a portion of SMAS. The mobilized SMAS flap is then rotated upward with some posterior traction to accomplish the desired vector of lift of the lower face, jaw line, and neck based on the surgeon’s judgment. The primary vector is upward, but a lateral component of tension is added to apply lifting of the labiomandibular fold. Sufficient SMAS tissue is excised to ensure a snug closure forward along the zygomatic arch, which will directly transmit a vertical lift to the platysma along the mid and anterior body of the mandible.
Stuzin’s SMAS imbrication
In 1997, Stuzin described SMAS imbrication. He also described periosteal fixation to arch with a strip of SMAS. The platysma is secured to mastoid fascia to pull neck tissues.
Tonnard developed the MACS (Minimal Access Cranial Suspension) lift with simple and extended versions. Simple MACS consists of limited skin undermining with 2 purse-string SMAS sutures of 2-0 permanent suture (Prolene) to the deep temporal fascia.
The extended MACS includes an incision that extends along the temporal hairline. The pull of the malar tissues is performed with a 3rd purse string suture secured to the deep temporal fascia.
Click on the Additional Face and Neck Lift Article Links Below to Learn More about Facelifts:
Article 1: Lip and Marionette Line Improvement in Facelifts
Article 2: Laser Resurfacing and Treatment of Nasolabial Folds in Facelifts
Article 3: Jowl and Neck improvement in Facelifts
Article 4: Skin Only Facelifts
Article 5: Deep Plane Facelifts and Extended SMAS Flap Facelifts
Article 6: SMASectomy, SMAS imbrication, and MACS Facelifts
Article 7: Complications of Facelifts: Hematomas
Article 8: Complications of Facelifts: Infection, Skin Loss, and Nerve Injury
Article 9: Optimal Scar Placement in Facelifts
Article 10: Secondary Facelifts
Or View Before and After Photo Galleries of Dr. Hughes’s Face and Neck Lifts Below: