Buckingham Center for Facial Plastic Surgery
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    • Limited Incision Facelift
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    • Lip Lift
    • Nasal Obstruction
    • Neck lift
    • Revision Rhinoplasty
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      • Restylane®
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      • Juvederm Voluma XC
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      • Sculptra®
    • Laser Treatments
      • IPL (Intense Pulsed Light)
      • BBL Ultra Peel
      • Halo™ Laser
      • Nano Laser Peel
      • RF Microneedling
    • Liquid Rhinoplasty
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    • Rosacea
    • SkinTyte
  • Photos
    • Surgical
      • Blepharoplasty
      • Chin and Cheek Augmentation
      • Endoscopic Browlift
      • Facelift
      • Facial Fat Transfer
      • Fractional Laser
      • Limited Incision Facelift
      • Nasal Obstruction
      • Necklift
      • Otoplasty
      • Revision Rhinoplasty
      • Rhinoplasty
      • Skin Cancer
      • TCA Peel / Dermabrasion
    • Non-Surgical
      • Acne Scarring
      • Belotero
      • Birthmarks
      • Botox
      • Juvederm
      • Lasers
      • Radiesse
      • Restylane
      • Sculptra
      • Rosacea
  • About
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      • Dr. Buckingham
      • Dr. Smith
      • Dr. Lafer
      • Rene’ Thomas, RN
      • Rachel Miller, RN
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    • Office in Austin, TX
    • New Patient Forms
    • Out-of-Town Patients
  • Testimonials
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    • RealSelf Reviews
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  • Specials
Buckingham Center for Facial Plastic Surgery
  • Surgical
    • Bell’s Palsy
    • Blepharoplasty
    • Chin / Cheek Augmentation
    • Chin Liposuction
    • Endoscopic Forehead Lift
    • Facelift
    • Facial Asymmetry
    • Facial Fat Transfer
    • Rhinoplasty
    • Limited Incision Facelift
    • Lip Enhancement
    • Lip Lift
    • Nasal Obstruction
    • Neck lift
    • Revision Rhinoplasty
    • Otoplasty
    • Earlobe Reduction
    • Rhinophyma
    • Scar Repair
    • Skin Cancer
    • Threadlift
    • Facial Trauma
  • Non-Surgical
    • Acne Scarring
    • Chemical Peel
    • Birthmarks
    • Chest Rejuvenation
    • Diamond Glow
    • Frown Lines
    • Injectables
      • Restylane®
      • Belotero®
      • Radiesse®
      • Botox®
      • Juvederm®
      • Juvederm Vollure XC
      • Juvederm Volbella
      • Juvederm Voluma XC
      • Restylane Silk®
      • Sculptra®
    • Laser Treatments
      • IPL (Intense Pulsed Light)
      • BBL Ultra Peel
      • Halo™ Laser
      • Nano Laser Peel
      • RF Microneedling
    • Liquid Rhinoplasty
    • Skin Care
    • Rosacea
    • SkinTyte
  • Photos
    • Surgical
      • Blepharoplasty
      • Chin and Cheek Augmentation
      • Endoscopic Browlift
      • Facelift
      • Facial Fat Transfer
      • Fractional Laser
      • Limited Incision Facelift
      • Nasal Obstruction
      • Necklift
      • Otoplasty
      • Revision Rhinoplasty
      • Rhinoplasty
      • Skin Cancer
      • TCA Peel / Dermabrasion
    • Non-Surgical
      • Acne Scarring
      • Belotero
      • Birthmarks
      • Botox
      • Juvederm
      • Lasers
      • Radiesse
      • Restylane
      • Sculptra
      • Rosacea
  • About
    • About Us
    • Providers
      • Dr. Buckingham
      • Dr. Smith
      • Dr. Lafer
      • Rene’ Thomas, RN
      • Rachel Miller, RN
    • Our Staff
    • Videos
    • Office in Austin, TX
    • New Patient Forms
    • Out-of-Town Patients
  • Testimonials
    • Patient Reviews
    • RealSelf Reviews
    • Video Testimonials
  • Specials
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What are the differences, pros and cons of an SMAS facelift?

November 9, 2010 by Dr. Edward Buckingham, M.D.

Question:
What are the differences and the pros and cons of an SMAS facelift and a deep plane facelift? Are results more natural or long lasting with one over the other?

Answer:
The terms you are referring to are not standardized, but I will answer the question with the traditional thoughts. The face has layers which consist of skin, fat, then SMAS, then fascia, then nerves and muscle and bone. A SMAS facelift refers to a facelift in which the skin is elevated and then the SMAS is elevated off the deeper structures and used to suspend the face. Many different degrees of SMAS elevation may be carried out from just incising the SMAS to elevating it for a great distance. The only difference between an aggressive SMAS lift and a deep plane lift is that in the deep plane lift the skin is only elevated for a short distance and left mostly attached to the SMAS and the dissection is carried out over the cheek and down one of the facial muscles to attempt to elevate the cheek and smile line. Studies have shown the smile line improvement does not last from this technique.

We perform a wide variety of facelifts that are all SMAS in nature. In patients without a great degree of aging we might to a mini-lift or limited incision facelift with very little SMAS work. In patient with a greater degree of aging we will perform a more extensive SMAS lift even bordering on the traditional deep plane lift. The results from any of these can be great and they should be matched to the individual patient. They can each last the same length of time if they are utilized correctly.

Posted by Dr. Buckingham

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