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Unlocking The Secrets of High SMAS Facelift

In the quest for rejuvenation and age-defiance, the High SMAS facelift has emerged as a pivotal technique in facial cosmetic surgery. Often considered a step ahead of conventional methods, the High SMAS Facelift is the procedure of choice for many who seek natural-looking results.

This article will provide a comprehensive guide to understanding this remarkable procedure.

What is a High SMAS Facelift?

In the sphere of aesthetic plastic surgery, the High Superficial Musculoaponeurotic System (SMAS) facelift stands out as a robust and efficient approach to facial rejuvenation. It targets the layer of tissue beneath the skin, which covers and connects the facial muscles (the SMAS layer), lifting it to a higher position to produce a youthful contour.


What is an Extended High SMAS Facelift?

Taking the High SMAS technique a notch higher, the Extended High SMAS Facelift includes not only the manipulation of the SMAS layer but also the deeper tissues. The approach is more comprehensive, with extensive dissection, leading to a more pronounced lifting effect on the middle and lower regions of the face.

Types of Facelifts

How a High SMAS Facelift Differs from Traditional Techniques?

Traditional facelifts tend to focus on repositioning the skin, often ignoring the underlying SMAS layer. This results in a less natural and shorter-lasting outcome. On the other hand, High SMAS facelift not only adjusts the skin but also elevates the underlying SMAS layer, leading to a more natural, youthful facial contour that is sustainable.

Difference between High SMAS and Deep Plane Facelift

The High SMAS and Deep Plane Facelift procedures share a common goal: creating a natural, rejuvenated look. However, while the High SMAS facelift lifts the SMAS layer, the Deep Plane Facelift goes one step further to release and reposition the entire composite of skin, SMAS, and fat as a single unit.

Who is an ideal candidate for High SMAS Facelift?

Ideal candidates for a High SMAS Facelift are those experiencing moderate to severe facial sagging, particularly in the mid-face area. It is also well suited to individuals who have previously undergone a facelift and need a revision surgery for enhanced results.


The High SMAS Facelift involves an incision along the hairline, continuing around the ear. This allows the surgeon to access and manipulate the SMAS layer. The procedure generally lasts about three to four hours.

Targeted Areas

The High SMAS Facelift primarily focuses on the mid-face area – including the cheeks and the nasolabial folds. However, by adjusting the SMAS layer, it indirectly benefits the lower face and neck as well.


Advantages of High SMAS Facelift

The High SMAS Facelift offers a range of advantages. These include more natural-looking results, improved facial contours, and a longer-lasting effect compared to traditional facelift techniques.

  • More Natural Look: The High SMAS facelift technique can create more natural-looking results because it targets the underlying SMAS layer, not just the skin.
  • Comprehensive Rejuvenation: It addresses multiple areas, including the mid-face, lower face, and indirectly the neck, resulting in a balanced and holistic rejuvenation.
  • Long-lasting: The results of a High SMAS facelift typically last longer than traditional facelift techniques, often up to 10-15 years.
  • Less Skin Tension: As the lifting is done on the deeper layers, there is less tension on the skin during the healing process, which can lead to better scarring and longer-lasting results.
  • Better Facial Contouring: By repositioning the SMAS layer, it creates improved facial contours, leading to a more youthful appearance.
  • Effective on Severe Sagging: High SMAS facelift is particularly effective for those experiencing moderate to severe facial sagging.
  • Revision Surgery: It is also suitable for those who have previously undergone a facelift and need a revision surgery for enhanced results.

Remember, the benefits can vary from person to person, and it’s crucial to have a detailed consultation with a board-certified plastic surgeon to understand the potential outcomes in your specific case.

How long does High SMAS Facelift last?

The results of a High SMAS Facelift are generally long-lasting. Most patients can expect to enjoy the rejuvenating effects for up to ten to fifteen years, depending on individual health and lifestyle factors.

How long does it take to recover from a High SMAS Facelift?

The recovery time varies from person to person but generally, most people can return to their normal activities within two to three weeks.

Recovery and Aftercare

During recovery, it is essential to follow the surgeon’s instructions, including avoiding strenuous activities, and adhering to a healthy lifestyle to ensure optimal healing.

Swelling after High SMAS Facelift

Swelling is a normal part of the recovery process, generally subsiding within two weeks. It can be managed with cold compresses and elevating the head while sleeping.

Side Effects & Complications

Like any surgical procedure, the High SMAS Facelift carries some risks including infection, bleeding, scarring, nerve injury, and complications from anesthesia. Choosing a highly experienced surgeon minimizes these risks.

What is the Cost of a High SMAS Facelift in Turkey?

In Turkey, known for its affordable healthcare, the cost of a High SMAS Facelift ranges between $4500 and $9000, depending on the surgeon’s experience, the complexity of the case, and the facilities at the clinic.

Check out Facelift Surgery prices in UK and Turkey in detail.

High SMAS Facelift Before and After

The transformation following a High SMAS Facelift is remarkable, with patients reporting a restored, more youthful facial contour. Before and after photos help understand the potential outcomes.

Is Turkey good for High SMAS Facelift surgery?

Turkey is a popular destination for High SMAS Facelift surgeries due to its combination of skilled surgeons, state-of-the-art facilities, and cost-effective healthcare.

How to Choose the Best Facelift Technique?

The ideal facelift technique depends on individual facial anatomy, the degree of aging, and personal aesthetic goals. Consulting with a board-certified plastic surgeon is crucial to determine the best approach.

Contact us now for a free consultation!

Combining High SMAS Facelift with Other Procedures

One of the advantages of the High SMAS facelift is its compatibility with other procedures, allowing for a comprehensive rejuvenation strategy tailored to individual needs.

  • Eyelid Surgery (Blepharoplasty)
    Upper and lower eyelid surgery can be combined with a High SMAS facelift to address sagging or puffy eyelids, enhancing the overall youthful and refreshed appearance.
  • Brow Lift
    A brow lift, aimed at correcting a drooping brow and reducing forehead lines, can be performed alongside a High SMAS facelift. This combination often provides a more balanced and harmonious rejuvenation effect.
  • Neck Lift
    While the High SMAS facelift indirectly improves the appearance of the neck by tightening the underlying SMAS layer, combining it with a neck lift can offer more pronounced results, especially in cases with substantial neck sagging or prominent banding.
  • Fat Transfer
    For patients with volume loss in their face, a fat transfer (or fat grafting) procedure can be combined with the High SMAS facelift. This procedure involves harvesting fat cells from other parts of the body, purifying them, and then injecting them into specific areas of the face to restore volume and enhance contours.

It is important to understand that while combining procedures can provide significant benefits, it may also increase operative time, recovery duration, and potential risks.

Therefore, the decision to undergo multiple procedures should be made in close consultation with a board-certified plastic surgeon who can guide you based on your unique facial characteristics and aesthetic goals.

In conclusion

The High SMAS Facelift is a transformative procedure that helps regain a more youthful and refreshed facial appearance. Always consult with a board-certified plastic surgeon to ensure you’re making the best decision for your personal health and aesthetic goals.
Learn more about our doctors.

Frequently Asked Questions

What is the difference between high SMAS and SMAS facelift?

High SMAS and SMAS facelifts both target the same layer of facial tissue, but the High SMAS lifts it higher for a more enhanced effect.

Does a SMAS facelift lift muscle?

A SMAS facelift does not lift the muscle itself, but rather the layer of tissue that covers and connects the facial muscles.

Does a SMAS facelift include the neck?

While the primary focus of a SMAS facelift is the face, the procedure can indirectly improve the neck’s appearance by tightening the underlying SMAS layer.

What is the most natural-looking facelift technique?

The most natural-looking facelift techniques are those that manipulate deeper tissues such as the High SMAS and Deep Plane facelifts.

What is the longest-lasting facelift?

The Extended High SMAS and Deep Plane facelifts, due to their manipulation of the deeper facial structures, are known to provide the longest-lasting results.

What happens 10 years after a face lift?

While facelifts can turn back the clock, they don’t stop the aging process. Ten years post-surgery, some signs of aging may have returned, but your face will still appear younger than if you had not undergone the procedure.

Does anyone regret facelift?

Regrets after facelift surgery are usually due to unmet expectations. This underscores the importance of a thorough consultation and realistic expectations.

Can a facelift make you look 10 years younger?

While results vary, many patients report looking up to 10 years younger following a facelift.

What age is too late for a facelift?

There is no set age limit for a facelift. It’s more about your overall health and the condition of your skin rather than your chronological age.

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Assoc. Prof. Ahmet Hamdi Sakarya

Assoc. Prof. Ahmet Hamdi Sakarya received his medical education from Ege University Faculty of Medicine. He is a plastic, reconstructive, and aesthetic surgeon. He is also ECFMG certified, which is required to practice medicine legally in the United States.

Read More


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