Semin Plast Surg 2002; 16(4): 305-318
DOI: 10.1055/s-2002-37450
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

SMAS Facelift

Bruce F. Connell
  • University of California Irvine, College of Medicine Irvine, California
Further Information

Publication History

Publication Date:
26 February 2003 (online)


A decade ago you might have heard the question asked, "Is the SMAS of value in rejuvination of the face and neck?" Today there is no doubt that the SMAS vector components, used in a carefully planned manner, can achieve the restoration of a beautiful neck and face. Utilization of the SMAS to return the fat to a more superior, youthful position is essential to achieving a youthful appearance. In addition to using the sling of the SMAS in a vertical direction for support in the submental area, careful planning of the vectors is necessary to change the diagonal nasojugal groove to the youthful horizontal position, flatten the upper and lower portions of the nasolabial fold, give support to the orbital septum and periorbital fat, and takes tension off the skin closure, which is of great assistance in minimizing the detectability of surgery. This article discusses the precise artistic goals necessary in using the SMAS and how the detailed anatomical planning of the SMAS vectors can achieve the contours of youth.