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Which Face Lift Technique is Better, SMAS Plication or SMASectomy?

August 27th, 2012 Miguel A. Delgado Jr, MD



SMAS is an acronym for superficial muscular aponeurotic system. SMAS is the muscular system of the face that is manipulated during a facelift or rhytidectomy.

There are two popular SMAS procedures, the SMAS plication and the SMASectomy. Plication means to fold and ectomy means to cut. San Francisco Bay Area facelift patients ask, “Which procedure is best for me?”

The SMAS plication is where the SMAS is folded over onto itself and sutured in place giving extra strength, fullness and definition to the face which many patients lose with aging. For the patient that extra fullness is not warranted, the SMASectomy would be performed where the SMAS is cut, a strip removed, lifted and sutured back to itself to prevent additional volume and may thin the face somewhat.

Each patient is unique; it takes a well trained Board Certified Plastic Surgeon with a critical, aesthetic eye to determine the best procedure for optimal results.

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