What is the SMAS? The earliest facelifts were single layer procedures that only tightened the skin. Good results were possible but longevity and scar quality were limited by high wound healing tension on the skin. In the 1970’s surgical anatomists described the Superficial MusculoAponeurotic System, or SMAS. This is a dense connective tissue layer in …
Most individuals are best served by eyelid surgery (blepharoplasty) alone to restore a youthful appearance to the upper eyelids. Browlifts add a layer of complexity to the process, as well as increased operating time and cost. However, browlifts significantly improve results when used in the right situations. Also, the recovery time is about the same …
Sagging Upper Eyelids: Do I Need a Browlift Too? Read More »
Injectables are becoming more and more popular for facial rejuvenation, but there is a limit to what these agents can accomplish. Depending on the patient’s age and the type and severity of their wrinkles and folds, a facelift may be a better alternative. Figure 1. Loose skin and jowl formation before (left) and after facelift …
Fillers vs. Facelifts: Where Are the Boundaries? Read More »
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