Full/SMAS Facelift

A SMAS facelift, also known as “the two-layer facelift”, is the most extensive technique and provides the best results for patients with extreme skin laxity and soft-tissue descent. Dr. Mentz performed his first SMAS lift 30 years ago, and throughout the years has done thousands. SMAS lifts are his favorite operation, as he feels they offer the most durable and satisfying results for his patients.

About the SMAS facelift

The superficial muscular aponeurotic system (SMAS) is a layer of tissue that lies deep within the facial skin, where it helps to support the structure of the face. As we become older, the SMAS membrane weakens and loses its elasticity, which can result in sagging cheeks, exaggerated nasolabial folds, lax jowls, and a double chin. A SMAS facelift focuses on this membrane, correcting these problems by tightening the muscles and reducing fat and excess skin. This procedure is often combined with a neck lift.

What can a SMAS facelift address?

Mid-face sagging
Lax jowls
Excess facial skin and fat

Hollow cheeks
Loose, submental skin and fat

How do I know which facelift technique is right for me?

With the wide array of facelift techniques available, it can be overwhelming to figure out which one is ideal for your aesthetic goals. The best thing to do is to discuss your options with a facelift expert such as Dr. Henry Mentz.

As a triple board-certified doctor in Plastic Surgery, Facial Plastic Surgery, and Head and Neck Surgery, Dr. Mentz brings innovation and progression to his facelift techniques. He uses several different methods to decide which specific procedure will get the best results for your unique facial structure. He takes many factors into consideration, from your face shape and structure to your personal goals to how much skin laxity you have. He will provide you with multiple options for the best outcome.

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SMAS facelift surgical details

Dr. Mentz performs SMAS facelift surgery at his AAAASF-certified SurgiCentre facility in Houston under general anesthesia or local anesthesia. Procedure time is approximately three hours, but will vary case by case. Dr. Mentz will make an incision at the temple, above the hairline, and will extend it downward, curving behind the ears. Once the incision is created, he will lift the tissue and muscle that is under the skin and place it into a higher position. He will remove excess skin, then re-drape the skin back over the face. The incisions will then be closed with sutures, and you will be wrapped with surgical dressing.

Recovery and results

Immediately following your SMAS facelift, a special cooling mask will be placed on your skin to help minimize bruising and swelling. In addition, small tubes may be inserted beneath the skin to prevent fluid accumulation. (The surgical dressing can typically be removed the day following surgery.) Dr. Mentz may recommend an overnight stay at one of his SurgiCentre’s recovery suites, where you will be taken care of by a registered nurse who specializes in plastic surgery recovery. Moreover, if you live within 20 miles of our facility, Dr. Mentz will offer a visit to your home by a nurse who is trained to assist you with post-operative recovery.

The nurse will change any dressings, monitor your recovery, assist you with your medication, and provide Dr. Mentz with an update on your consultation. This is part of Dr. Mentz’s signature concierge surgical and recovery experience. Most sutures are removed 5 to 7 days after surgery. Peak swelling takes place within 24 to 48 hours, with moderate swelling may lasting for weeks. We recommend elevation of the head (even during sleep) to reduce initial swelling. You can expect to have some numbing, swelling, bruising, and discomfort for about two weeks, and around this time you will be able to return to work and continue exercise. Most of the incisions will be well-hidden within the natural creases of the skin and hair.

Candidates for a SMAS facelift

Are in their 40s to 60s and have moderate facial sagging
Still have fairly good skin elasticity

Must be generally healthy non-smokers
Understand what a SMAS facelift can accomplish

Why choose Dr. Henry Mentz?

As the first triple board-certified doctor in the U.S., Dr. Henry Mentz is among the most well-trained and sought-after plastic surgeons for facial rejuvenation. He is an internationally respected plastic surgeon who is also one of the country’s best facelift doctors, and with 250 facial rejuvenation procedures performed each year, you can be assured you’re working with a skilled and experienced professional. Dr. Mentz tailors each facelift procedure he performs, using different techniques for different facial shapes. Our services aren’t just for those who feel they appear old; they are also designed to maintain and refine youth. We believe that you don’t have to look old to want to look younger. When you choose Dr. Mentz, you gain a surgeon who is warm, compassionate, professional, and friendly. His goal is to achieve results that empower you aesthetically.