SMAS Facelift - Imbrication And Plication

Facelift Surgery is suggested for adult men and women to unwind the appearance of wrinkles, fine lines and sagginess in the face. The mid region of the face is principally focused which warps in the nasobial fold, the cheeks and jowls and sometimes the throat and double chin look.

Traditionally surgeons used to operate up superficial tissues to pull and stretch it in order to smooth the wrinkles and reveal a wrinkle free skin. Whereas, with the SMAS Facelift procedure surgeons approach the mid face atrophy working with all the deeper layers mid face musculature instead of the superficial cells. This principle has become a massive hit attaining the best results of era defiance, preventing the typical “plastic face” look.

SMAS stands for Sub Muscular Aponeurotic System. This is the overtly eloquently title for its profound airplane muscle flap and fat pads which enwraps the cheek and jowl area of the face. Depending upon the severity of the wrinkles; skin atrophy and allowed skin elasticity of the patient, the SMAS flap could partly be removed or remodeled. There are a few deep rooted surgical programs which need to be determined for each individual. There are two facets of this surgical planning- Imbrication or even Plication.



SMASEctomy Facelift/ Imbrication



The surgical planning involves that the surgeon would dissect the SMAS Flap and take out the surplus portion of it which has been changed with skin atrophy whilst raise the rest of the flap to a much better place to accomplish the targeted skin extending. smas лифтинг doublo is pulled in upward direction (exceptional) towards the corner of their eye; or dragged backwards (posterior) to the rear of the ears.

The pulled up skin is sutured or stapled into a better place which permanently holds the tight skinned look. Absorbable sutures do not require removing, and also the tissue growth and recovery of the surgical fixes that the facial skin holds around the new positioning quite unremarkably without screaming the fact that the individual has gone under the knife.



SMAS Plication



The second choice opines on folding and suturing the excess tissue affected with atrophy instead of removing it. The excess tissue is clasped, lifted and sutured underneath the top layer of the SMAS flap. It’s followed with the same elevation of the remaining flap to a superior or posterior position and sutured. The plication of the cells provides the lips a subtle enhancement of a plump and much more youthful appearance.