Traditional surgeons are used to work with superficial tissue to pull and stretch it to smooth out wrinkles and expose free wrinkled skin. Whereas with the SMAS facelift surgeon procedure the central facial atrophy approach works with a deeper layer of facial musculature rather than superficial tissue. This principle has been a huge hit with the best results from the age-old, avoiding the usual "plastic face" look.
SMAS stands for Muscular Sub Aponeurotic System. This is an extremely flexible name for the inner plane's muscle flaps and the curved fat pads on the cheeks and chin. Depending on the severity of wrinkles; Skin atrophy and skin elasticity protects the patient, SMAS flaps may be partially removed or modified. There are several in-depth surgical plans that need to be determined for each patient. There are two aspects to surgical planning - Imbrication or Plication.
- SMASEctomy Facelift / Imbrication
Surgical planning involving surgeons will dissect the SMAS flasks and remove the affected limbs with skin atrophy while raising the remaining head to a better position to achieve targeted skin stretching. The flap is either pulled upward (superior) toward the corner of the eye; or pulled back (posterior) to the back of the ear.
The pulled skin is sewn or stitched to a better position that retains a tight skin tone. The unabsorbed case does not require removal, and the growth of the tissue and wound healing of the scalp hold until the new position is quite remarkable without shouting the fact that the person has been under the knife.
- SMAS Placement
The second option opens on folding and brushing excess tissue that is affected by atrophy rather than removing it. Excess tissue is grasped, lifted and sown under the upper layer of SMAS. It is followed by the same height as either the superior position or the posterior and the sutured. Tissue release gives the cheeks a smoother and more youthful appearance.
- Deep-Level SMAS Face-lifting Plasma with Lifting Neck
Here, the bottom of the jowls and neck are covered with facial liposuction, in particular, liposuction ultrasound (VASER Lipo) to reduce the appearance of double chin. To do this, the hollow VASER probe was inserted into the jowl area under local anesthesia and a small fat deposit was removed and removed from the skin. Fat reduction works best on the lower part of the face with the least sign of surgery.
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