SMAS Facelift
Turn Back Time
To That Moment!
The key to a SMAS facelift is repositioning the SMAS layer and retaining ligaments, the root causes of aging. This surgery addresses extensive sagging and wrinkles across the mid-face and lower face caused by loss of skin elasticity due to aging. By dissecting the SMAS layer as broadly as possible, then sequentially lifting the fat and skin layers, a definitive lifting effect can be achieved.
Effective for Those
Seeking Powerful and Definitive
Wrinkle and Sagging Improvement!
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01
When you want to improve overall facial elasticity and wrinkles
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02
When you desire dramatic lifting results from a single surgery
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03
When thread lifts or laser lifts have not been effective
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04
When sagging skin makes your expression look dull and tired
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05
When you want semi-permanent results compared to non-surgical treatments
About 2–3 hrs
Sedation
Not required
7-10 days
2–3 sessions
1–2 weeks
Results may vary depending on the patient's condition and surgical method.
About 2–3 hrs
Sedation
Not required
7-10 days
2–3 sessions
1–2 weeks
Results may vary depending on the patient's condition and surgical method.
Erase the Signs of Time!
HUGO's SMAS facelift comprehensively and fundamentally addresses facial sagging caused by aging! It simultaneously improves the cheekbone area and nasolabial folds, jawline and cheek sagging, and drooping around the mouth.
Skin Sagging?
In Fact, the Skin, Fat, and SMAS Layer
All Sag Together!
As we age, collagen loss and gravity cause the skin to sag,
but in reality, the fat tissue and SMAS layer beneath the skin sag simultaneously.
That is why lifting only the skin in a facelift yields limited results;
lifting the SMAS layer at the same time is essential for achieving optimal outcomes.
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01Skin with sagging skin, fat, and SMAS layer
requiring a facelift -
02Skin incision
(from in front of the ear to behind the ear) -
03Deep fat removal
(removing deep fat located far beneath the surface) -
04Sagging SMAS layer
fixed after lifting -
05Sagging skin
sutured after lifting -
06Excess skin excised
after lifting
What If Only the Skin Is Lifted?
A facelift can only deliver definitive results when the deep fat is removed
and both the skin and SMAS layer are lifted simultaneously.
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Before facelift surgery -
When only the skin is lifted -
After deep fat removal,
skin and SMAS layer
lifted simultaneously
Understanding the True Cause of Facial Sagging
Is Key to Effective Improvement!
By simultaneously lifting the sagging fat pockets and skin at the front of the face
and completely releasing the retaining ligaments during surgery,
maximum lifting results can be achieved with long-lasting effects.
Going beyond the simple approach of just pulling the skin, this surgical method dissects
and lifts each sagging layer including skin, tissue, muscle, and ligaments for powerful, long-lasting results.
Along with SMAS lifting, the facial retaining ligaments at the cheekbone that firmly hold the deep skin layers
are also released, delivering an even more definitive lifting effect.
The procedure removes sagging skin and tissue, minimizes the load on the skin,
and uses incision lines that minimize scar exposure.
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Dissect the SMAS layer sufficiently and at a uniform thickness
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Thoroughly release the retaining ligaments attached to the bone
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Remove buccal fat and deep cheek fat
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Pull and firmly secure the deep cheek fat pockets and SMAS layer
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What Is the SMAS Layer?
The SMAS is a very thin fibromuscular layer located at approximately 4.5mm depth between the subcutaneous fat and muscle layers, which is difficult to reach with lasers. It is a fascial layer beneath the subcutaneous fat where facial expression muscles, connective tissue, fascia, and blood vessels are located. As the skin sags with aging, the SMAS layer sags along with it. If only the skin is pulled without addressing the SMAS layer, the lifting effect is diminished and can result in severe scarring or pixie ear deformity.
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What Are Retaining Ligaments?
Retaining ligaments are soft tissue structures that connect from the bone through muscle, fascia, subcutaneous fat, and all the way to the dermal layer, playing a crucial role in preventing the skin from sagging. As some retaining ligaments loosen during the aging process or due to congenitally dense ligaments, wrinkles or grooves appear on the skin surface. By performing SMAS lifting, excision, and fixation followed by retaining ligament release and fixation, the effectiveness of the facelift can be significantly enhanced.
Why HUGO Plastic Surgery's
SMAS Facelift Is Special!
Precision Analysis System
Through thorough consultation, we analyze various factors including facial sagging due to aging,
wrinkles, facial proportions and contour lines, and skin elasticity.
For successful results, it is essential to find the appropriate surgical method and approach through precision analysis.
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Aging & Skin Sagging Analysis
We precisely analyze the degree of aging based on your current age,
then tailor the type of surgery and lifting direction to each individual. -
Facial Line & Proportion Analysis
We analyze changes in the facial line caused by wrinkles and sagging, along with the overall golden ratio of the face,
to establish a thorough surgical plan. -
Retaining Ligament, Muscle & Fat Volume Analysis
By analyzing the thickness of the facial muscles and the distribution of fat by area,
the most suitable surgery is performed. -
SMAS Layer & Skin Elasticity Analysis
Because skin elasticity differs from person to person, we adjust the type of surgery and the amount of skin excision
appropriately according to elasticity.
Powerful and Definitive Lifting Results
With HUGO Plastic Surgery's exclusive expertise in facelifts, anatomical knowledge, delicate and precise
surgical techniques, and minimized tissue damage, we deliver results that satisfy
all aspects: facial sagging, wrinkle improvement, and skin elasticity.
Extensive Dissection Down to the SMAS Layer
By dissecting as extensively as possible down to the SMAS layer according to the patient's age
and degree of aging, sagging skin and wrinkles are lifted for outstanding results.
Additionally, fixing the SMAS layer, the root cause of wrinkles, ensures long-lasting wrinkle improvement.
What Is the Difference Between
a Full Facelift and a Mini Facelift?
Both pull the SMAS fascia and skin together to improve facial wrinkles and sagging,
but the surgical method may differ depending on the incision site and the degree of sagging.
| Full Facelift | VS |
Mini Facelift |
|---|---|---|
 |
Incision Site |  |
| 50s and older | Age Group | Relatively younger, 20s to 40s |
| Improves the mid-face, lower face, and even neck wrinkles all at once | Lifting Effect | Mainly improves the mid-face, such as nasolabial folds and cheek sagging |
| About 2 weeks | Recovery Period | About 1 week (minimal bruising and swelling) |
The Key Is Lifting the SMAS Layer Together with the Skin
to Address Overall Wrinkles and Sagging!
By lifting the SMAS layer, the root cause of wrinkles, along with the skin, overall facial wrinkles can be definitively improved with long-lasting results.
Because stretched wrinkles and sagging muscles are removed, you can expect not only wrinkle improvement but also a facial slimming effect.
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01Before Surgery
Wrinkled and sagging face
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02Incision
An incision is made from in front
of the ear to behind the ear. -
03Dissection
Delicate dissection above and below
the SMAS layer. -
04Lifting and Excess Skin Excision
The SMAS layer is lifted and
excess skin is excised. -
05Suturing and Dressing
The incision is meticulously
and delicately sutured. -
06After Surgery
Overall facial sagging and
wrinkles are improved.
Reclaim Your Lost Youth
with Definitive Lifting Results!
HUGO Plastic Surgery delivers highly satisfying results
through personalized 1:1 customized procedures.
- Fundamental wrinkle improvement
- Smooth and firm facial contour
- Facial slimming effect
- Semi-permanent results
