A facelift, only better
Facelifts come in a wide variety, and not all of them are the same or provide the same outcomes. Known scientifically as the superficial musculoaponeurotic system (SMAS), this facia, or supportive layer that invests the facial muscles, droops with age. With age, the SMAS sags, causing laxity along the lower face and jawline, which manifests as jowls, marionette lines, and nasolabial folds.
Dr. Robert ‘Bo’ Brobst has mastered several methods of facelifts for his Plano, McKinney, and Frisco area patients, including SMAS. This procedure enhances your natural contours hidden by the aging SMAS, giving you a younger, healthier look.
Tight and Contoured
surgical procedures that target the lower two-thirds of the face and neck
SMAS facelifts, also known as rhytidectomy, are surgical procedures that target the lower two-thirds of the face and neck. The jowls, double chin, sagging skin, and additional fat that come with age are all things that this facelift may get rid of. The procedure is less invasive and has a quicker recovery time than a deep plane facelift. In order to reduce the signs of aging, a SMAS facelift will release the dense facial attachments as needed and support the facial muscles while repositioning the facial volume and overlying skin in a more youthful position. Once adequately secured, we are able to tailor away the excess skin from the bottom two-thirds of the face that is redundant. Patients typically report looking 10–15 years younger as a consequence. A SMAS Facelift treats concerns of the lower two-thirds of your face, including excess lower cheek skin, drooping jowls, an irregular jawline, and deep wrinkles of the marionette lines without looking over-corrected or unnatural. This is commonly performed in conjunction with a neck lift and is complimented by facial implants, skin resurfacing, and injectable fillers if desired.
Dr. Brobst specializes in various methods of facelifts. He has trained under some of the country’s best plastic surgeons to hone in his craft, bringing you top-quality results and specialized care in the North Texas region. Dr. Brobst focuses his work on giving you confidence-boosting, life-altering aesthetic changes while remaining natural and not overdone. By scheduling a consultation at Brobst Facial Plastic Surgery and Aesthetics in Plano, you can rest assured that we have your best interests at heart and will help you make an informed decision about whether a SMAS facelift is the right procedure for you.
The main benefit of a SMAS facelift is that it can provide a natural-looking and long-lasting result that may be the right option for you compared to other types of facelift surgeries. Your anatomy and amount of facial aging will largely dictate the best option for rejuvenation. Because the procedure targets the deeper layers of the face and allows for the repositioning of your facial tissues, it can help to lift and tighten sagging skin, smooth out wrinkles, and improve the overall contour of the face. A SMAS facelift can also be combined with other cosmetic surgery procedures, such as a brow lift or eyelid surgery, if these are areas of concern. Although a facelift can give wonderful results alone, additional procedures can be complementary and achieve a more comprehensive facial rejuvenation.
Focused on you
Your consultation is centered around you. We want to understand your wants and desires, how long you have been considering facial rejuvenation, your motivations, and how this may support your other interests in your employment and social life. We focus on your medical history and discuss how it may affect any interventions we decide upon. Our goal is to optimize your health prior to any procedure and support your overall health and wellness throughout the process. As it should be, at Brobst Facial Plastic Surgery and Aesthetics, we know a good practice always puts the interest and well-being of its patients above any desire to sell or do more services. We only want what is best for you when it makes sense for you. Through this philosophy, we work diligently to tailor the decision-making and procedure to fit your needs. Schedule your consultation today!
Refreshed and Rejuvenated
In order to perform a SMAS facelift, deep sedation or general anesthesia is usually recommended. This is supplemented with local anesthesia to minimize the overall general anesthetic needs. Combined, this is the safest option which is largely painless and has the easiest recovery for the patient.Incisions for a SMAS facelift are tailored and hidden at or near the hairline and along the temples. Tightening and repositioning the SMAS is the major focus of the operation. Removing extra skin is a byproduct of the lift, and this is artfully performed. An inconspicuous closure is then achieved through proper planning, attention to detail, and experience.
During surgery, we rely almost entirely on a variety of dissolvable sutures that are used to support the repositioned SMAS. These are selected to slowly transfer the weight of the tissue from the suture onto the newly joined deeper tissue layers. Over time, the sutures vanish, lessening the possibility of later removal due to visible sutures, skin breakdown, or even infection. Although it is rare, the suture selection can even be modified if you have had any history of suture reaction or rejection in the past. Alternatively, during the final step of skin closure, we temporarily utilize some permanent sutures on the surface to achieve the best scar with the least tissue response. These sutures are difficult to even see and are removed within the first couple of weeks following surgery.
A SMAS facelift aims to provide long-lasting, aesthetic results that appear impeccably natural. The final outcome takes some time and will be best appreciated after a couple of months.A SMAS facelift frequently includes a neck lift, albeit this is conditional. Muscle bands, skin excess, and deep neck fat would be indications and can make the difference in a nice improvement or a great result. Additionally, chin and cheek implants, upper and lower eyelid correction, brow lifting, skin resurfacing, and volume correction are often complimentary rejuvenating procedures that are regularly utilized. Facial fillers, neurotoxins, and pre / post-operative skin care are also frequently incorporated to maximize aesthetic results.
Lift your spirits
After your SMAS facelift, it is possible that you could have some bruising, swelling, and pain. Pain is surprisingly minimal and rarely requires narcotics. Any limited bruising evolves from a purple to yellow color while it migrates down into the neck and upper chest. It is usually absorbed within 7-10 days. Swelling, or edema, is the most variable from patient to patient. It can range from minimal to substantial and depend on the surgical interventions, your personal tendency to swell, and post-operative care. Overall, cheek swelling usually remains for 1-2 weeks and then rapidly resolves on its own or through some post-operative interventions. Within two to three weeks, most people can get back to their usual routines, including going back to work. This largely depends on the specifics of your day-to-day commitments. You will be able to return to vigorous activity in about 3 weeks and are without limitation once you've reached a point when your wounds are completely healed in 6 weeks.
We say after your procedure, you are stuck with us. We want to see you regularly for follow-up appointments to ensure your healing is on track to managing anything that needs attention. These visits also afford opportunities to hasten recovery and maximize your aesthetic results through supportive services and aesthetics. You will be well prepared through ongoing care, instruction, and all our best tips to extend the life of your SMAS facelift.
The cost of a facelift or necklift is impacted by anesthesia fees, the technique utilized, additional services involved, the total time required, and the materials needed to perform the right surgery to accomplish your goals.
Health insurance will not cover the costs of cosmetic procedures, this includes a facelift/neck lift.
We want to welcome you into our Plano office for a consultation to chat about how we can protect and preserve your beauty. We want to get to know you as a person and develop a plan that best fits your needs and lifestyle. At Brobst Facial Plastic Surgery and Aesthetics, you’re more than a patient — you’re part of our family. We want to take care of you the way family should. Schedule your consultation to get started today.