SMAS Facelift - Imbrication And Plication

Facelift Surgery is suggested for mature men and women to unwind the appearance of wrinkles, fine lines and sagginess in the face. The mid area of the face is mainly focused which warps from 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 show a wrinkle free skin. Whereas, with the SMAS Facelift process surgeons approach the mid face atrophy working with all the deeper layers mid face musculature instead of the superficial tissues. This principle has become a massive hit achieving the best results of age defiance, avoiding the average “plastic face” look.

SMAS stands for Sub Muscular Aponeurotic System. This is the overtly eloquently name for the deep airplane muscle flap and fat pads that enwraps the cheek and jowl area of the face. Based on the seriousness of the wrinkles; skin atrophy and reserved skin elasticity of the patient, the SMAS flap could partially be removed or remodeled. There are some deep rooted surgical plans which need to be determined for each individual. There are two facets of this surgical preparation- 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 that has been changed with skin atrophy whilst lift the remaining flap to a much better position to accomplish the targeted skin stretching. The flap is either pulled in upwards direction (exceptional) towards the corner of their eye; or dragged backwards (posterior) to the back of the ears.

The dragged up skin is sutured or stapled into a better place that forever keeps the tight skinned look. Absorbable sutures do not need removing, and the tissue growth and healing of the surgical fixes that the facial skin holds up to the new placement very unremarkably without screaming the simple fact that the person has gone under the knife.



The next option opines on folding and suturing the surplus tissue affected with atrophy instead of removing it. ультразвуковой smas лифтинг is clasped, lifted and sutured underneath the top layer of the SMAS flap. It is followed with the same elevation of the rest of the flap to a superior or posterior position and sutured. The plication of the cells gives the cheeks a subtle augmentation of a more youthful look.