The SMAS facelift, or SMAS rhytidectomy, is a popular cosmetic procedure in the UK. If you are seeking a longer lasting youthful look, this could be the facelift for you. The SMAS facelift is a surgical procedure that tightens and lifts the middle and lower parts of your face. It can treat the sagging skin around the cheek area, jowls and sad mouth look.
The SMAS facelift is a popular procedure for patients who want an overall improvement in their appearance, as it treats sagging skin, muscle laxity and can target jowls. It can achieve a cheek and jowl lift.
SMAS stands for Superficial Musculo Aponeurotic System, which comprises muscles and fibrous tissues on the face that becomes loose when we age. This area starts near our ears and moves down towards the neck, where looseness occurs in the middle of your face.
The ageing signs that a SMAS can target include:
SMAS facelift patients want to slow down the effects of ageing. We see patients in their 50’s, 60s and older achive lift and rejuvenation.
The benefits of a SMAS facelift are the following:
Many women and men come to Kensington Medical because they want to look refreshed and naturally younger. Others come because their non-surgical dermal fillers or non-surgical facelift are no longer working. They feel they are spending a lot of money to maintain something that does not give them the youthful and natural look they want.
A SMAS face lift candidate is looking for a facelift that will last for a good many years. Of course, we all age and this process does not stop when you have a SMAS or any facelift procedure.
A SMAS facelift is a common procedure that can take up to 10 years off the appearance of your face. A person's decision to have one should depend on their circumstances, such as lifestyle and facial structure.
We see individuals in their 40s, 50s, or 60s. However, a SMAS can also be offered to someone in their 70’s.
Consultations with our experienced facial plastic surgeon should help answer any questions and concerns. They will look at skin and muscle laxity and your lifestyle to give you the best options for what you want to achieve.
A SMAS facelift is often combined with other treatments associated with ageing such as an upper eyelid lift (upper blepharoplasty) or an eye bag removal (lower blepharoplasty) . This option can often give you a better result and reduce the need to come back later for more surgery. Book a consultation in our Harley street, London or Wimbledon clinic and find out if you are suitable.
SMAS facelifts are often carried out with eyelid surgery (blepharoplasty). This is because a SMAS facelift targets the middle and lower portions of the face, the eye area is not touched, especially the upper eyelids.
A blepharoplasty removes excess fat and tightens the skin in the areas around the upper eyelids, the lower eyelids or eye bags, or both. By combining this with a SMAS facelift, can produce an overall rejuvenated face.
A SMAS facelift has a smaller effect on the neck. If the neck has a lot of skin laxity our plastic surgeon might suggest a neck lift. Sometimes the neck can age sooner than the face. To obtain a natural look, our plastic surgeon may suggest a SMAS facelift with a neck lift.
Patients often have skin laxity around the mouth as well as the cheek, mid face and jowls. This lip area of ageing may result in a slightly drooping upper lip which can give an ageing effect on the face. A lip lift with the SMAS facelift can address this surgically. Other options that we can talk about include laser resurfacing using a CO2 laser.
A SMAS facelift may not be enough to stop the fat loss effects of ageing. Fat transfer to the face can help to restore the volume and create a more youthful look. A liposuction procedure will take the fat from other parts of your body, for example the stomach or thigh area.
Fat transfer into areas such as the cheeks or under-eye area, adds volume change in volume, creating more youthful contours. It increases fullness in the cheek area, nasolabial lines or marionette lines, and the areas around the eyes.
The advantages of fat transfer over dermal fillers include:
A SMAS facelift tightens the muscle and skin of the face. It will not however help with skin texture. If this is a concern our plastic surgeon can discuss combining a laser treatment with SMAS for smoother skin after surgery. Lasers can increase collagen production, reduce sunspots, or brown spots, resurface the skin to make scars less visible.
We offer specialist facial rejuvenation treatments in the heart of London. Our team of expert plastic surgeons is dedicated to providing you with a comprehensive and personalised experience. With our expertise in facial cosmetic surgery, we can help you fight back the years and delicately recover your facial freshness and youthful appearance.
Your journey begins with a dialogue between you and your surgeon: the pre-operative consultation, which is central to the operation's success. At Kensington Medical, patients interested in surgery undergo several consultations with the surgeon. We are keen for our patients to be fully informed before deciding whether to proceed with surgery. So, we encourage them to see the surgeon more than once and ask as many questions as they wish. Typically, our patients go through two pre-operative consultations.
The first consultation tends to be face-to-face. During it, the surgeon will:
Following the first consultation, we will:
A second consultation is often necessary for the following reasons:
The second consultation can also be face-to-face. Alternatively, it can be via a video call.
Following your consultations, our medical team is always available should you have further questions before your surgery.
Once you have decided to go ahead with surgery, we will book your operation in one of our specialist cosmetic surgery hospitals.
Before your operation, you will be sent a health questionnaire. This will be reviewed by your anaesthetist, who may call you to discuss specific aspects of your medical history. In certain cases, you may be required to attend the clinic for blood tests. This will be discussed with you by one of our medical team members before your scheduled appointment date.
We will also issue you with preoperative instructions. In particular:
On The Day Of The Procedure
You will arrive at least one hour before the time of your procedure. The nursing staff at the hospital will monitor your blood pressure and other relevant essentials. You will then meet your anaesthetist and surgeon for a final markup.
The actual operation involves carefully sculpting and repositioning underlying tissue and fat within the face to create a more youthful contour around the eyes, chin, neckline, and jawline area. The result is smoother skin texture while preserving natural facial expressions throughout different movements. The incisions are then closed using sutures. This will leave small scars hidden along areas such as the hairline or scalp, which can fade over time depending on how well they are cared for.
We typically perform this procedure under general anaesthesia. It lasts 2.5h to 3.5h.
Aftercare following a facelift is essential to ensure we achieve optimal results.
Following your surgery, you will be transferred to the hospital’s recovery room, where the nursing staff will ensure that your recovery is smooth. You should stay there for two to four hours, depending on the surgery. Once the nursing team are happy that you are in a fit state to go home, you will leave the hospital accompanied by a friend or a family member. You should also arrange for someone to stay with you overnight for the first night following your operation. Generally, post-operative pain is minimal, but you will be given pain killers in case you need them.
Once you have been discharged from the hospital, our nursing team will be available 24/7 to ensure your post-operative journey is comfortable and pain-free and to field any questions you may have.
Your surgeon will see you a number of times in the weeks following your operation to monitor the facial skin and scars and to support you:
Bruising and swelling can last up to one month following this surgery.
Our medical team will provide detailed aftercare instructions based on your current health status and treatment received, including when it is appropriate for you to resume normal activities such as exercise, wearing makeup, and strenuous movements. It is essential to follow these instructions carefully to avoid complications or risks associated with the procedure.
Protecting your face from sun exposure is especially important, as it can cause scarring, discolouration, and other unwanted side effects. Wear sunscreen when outdoors and use hats or umbrellas if possible. It would be best to avoid strenuous activities involving facial movements, such as exercise and sports, until cleared by our medical team at Kensington Medical.
By following the instructions of our medical team and taking precautions to protect your face, you can ensure that you achieve the best results from facelift surgery. Following a healthy lifestyle with sufficient rest, nutrition, and hydration is essential for healing and maintaining long-term effects. It is strongly recommended to avoid smoking and alcohol consumption before and during the recovery period.
What are the risks associated with a SMAS facelift?
The SMAS facelift, like any surgical procedure, does have risks. During your consultation, your cosmetic surgeon will discuss them with you along with any concerns you may have.
The general complications associated with any operation include:
The rare complications of a SMAS facelift include
What is the recovery time from a SMAS facelift?
You can go home on the day of a SMAS facelift. The recovery time is around two to three weeks, after which time you can return to normal activities. We advise that you can start exercising after the healing is complete.
What scarring can be expected from a SMAS facelift?
Scars from a SMAS facelift are permanent, but the surgical procedure hides them within the hairline and in the normal creases of the skin. They will fade with time.
How soon will I see results / are they permanent?
As with most surgery, there will be some post-operative swelling, which will subside after about three weeks to one month. Results should be visible then and will look best from 6 months onward. The ageing process continues even with surgery. However, facelift results tend to be long-lasting.
How much does a SMAS facelift cost?
At Kensington Medical, an advanced SMAS facelift costs from £7,650. The best option is to get in touch and book a face to face consultation with our expert SMAS face lift surgeons. They will advise on what facelift is right for you and will give you full details on the SMAS lifting price. They will discuss face lift timelines, recovery times and they will show you before and after photos. You will leave having a thorough understanding of what’s involved and how long it will take to looking as good as you feel.
How should I prepare for this treatment?
Your plastic surgeon will give you specific advice on how to prepare for your treatment. This will be based on your pre-operative medical at Kensington Medical. It may include:
All the information will be provided and a 24 hour helpline is available. Your pre and post operative appointments will ensure you feel confident with the exciting journey ahead.
When will I see before and after images of a SMAS facelift?
During your consultation, your surgeon will share before and after images of previous surgeries that they have performed so that you can see the types of results you should expect.
At Kensington Medical, the journey to a fresher you can start today. The starting point of this journey is a consultation with your facelift surgeon. They will discuss the areas on your face that you are considering for cosmetic surgery. You may have another consultation to decide if there are any other procedures you may want such as an eyelift.
During the face-to-face consultation, your plastic surgeon will discuss facial structure, skin and muscle laxity. Photos of you when you were younger are helpful and we encourage you to bring them to the consultation. You will see our facelift SMAS before and after pictures so that we can create a plan for achieving your goals.
If you decide to have further procedures done at once, this plan will combine all aspects into one personalised program.
To find out if you are suitable book a consultation in our Harley street, London or Wimbledon clinic. Deciding to talk to an experienced plastic surgeon is the exciting first step to feeling and looking your best.