Question: I was doing research on facelifts because I’m interested in having a procedure. I found the phrase SMAS. What does it mean? How does it compare to the facelift?
Answer: SMAS refers to the superficial musculoaponeurotic system. This is a fibromuscular system which is underneath the skin. The discovery of this anatomical unit was found to have revolutionized the way that facelifts are performed, as well as the results. It was found that by tightening this underlying structure and then redraping the skin over this without any tension or pull on the skin, a long-lasting and a very satisfactory facelift result can be achieved. Facelift techniques now almost universally address the SMAS in tightening and repositioning this area to give the results which people now expect.