As we age, sagging skin, deepening wrinkles, and jowls in the lower face and neck become more prominent. If you’re seeking a procedure that provides natural-looking, long-lasting results, the SMAS facelift offers a proven solution. At Dr. Jeff Lisiecki’s NYC practice, SMAS facelifts are performed with precision and care, targeting the Superficial Muscular Aponeurotic System (SMAS) the core foundation beneath your facial skin.
What Is a SMAS Facelift?
An SMAS facelift is a surgical procedure that tightens and repositions the SMAS layer a deep connective tissue and muscle structure that supports facial shape and tone. Unlike skin-only facelifts that stretch the surface, the SMAS facelift improves the underlying support system, creating results that are more natural, longer lasting, and tailored to your facial anatomy.
What Areas Does It Treat?
The SMAS facelift is specifically designed to address aging in the lower two-thirds of the face, including:
- Sagging cheeks and jowls
- Loose skin in the jawline and neck
- Wrinkles and nasolabial folds
- Muscle banding in the neck
By repositioning both the SMAS layer and the overlying skin, this procedure restores definition to the jawline and rejuvenates the lower face without the “pulled” or overdone appearance.
SMAS Facelift Techniques
There are different approaches to SMAS lifting, depending on the patient’s needs and anatomy:
- SMAS Plication: The SMAS layer is folded and sutured for added lift without excision
- SMAS Flap: A section of the SMAS is lifted, trimmed, and repositioned for more structural change
- Extended SMAS: Involves a wider dissection of the SMAS for greater lifting in the mid-face
Dr. Jeff Lisiecki selects the best technique based on your facial structure and aesthetic goals.
SMAS Facelift vs SMAS Lifting: What’s the Difference?
People often use the terms interchangeably, but they may refer to slightly different approaches.
| Feature | SMAS Facelift | SMAS Lifting |
|---|---|---|
| Definition | Full surgical procedure addressing skin + SMAS layer | General term for techniques targeting the SMAS |
| Invasiveness | More invasive with longer-lasting results | Can refer to non-surgical or less extensive methods |
| Downtime | Moderate (1–2 weeks) | May vary depending on method |
| Longevity | 8–15 years | Depends on type (temporary for non-surgical) |
| Purpose | Structural rejuvenation of lower face & neck | May include skin tightening or minor lifting |
| Performed by | Board-certified plastic surgeons | Surgeons or med spa professionals |
Benefits of a SMAS Facelift
- Natural-looking lift: Improves contour without stretching the skin
- Longer-lasting results than mini or skin-only lifts
- Defined jawline and neck contouring
- Fewer signs of scarring, as tension is placed below the skin
- Tailored to your individual facial anatomy
Patients often report looking 10–15 years younger while still looking like themselves.
Ideal Candidates for a SMAS Facelift
You may be a great candidate for a SMAS facelift if you:
- Have moderate to severe sagging in the jawline, cheeks, or neck
- Maintain some skin elasticity
- Are in good overall health and a non-smoker
- Have realistic expectations for surgical results
A personalized consultation with Dr. Lisiecki can help determine the best approach for your needs.
How the Procedure Works
- The surgical team administers anesthesia (typically general or deep IV sedation).
- Dr. Lisiecki makes discreet incisions around the ears and into the hairline.
- He lifts, trims, or folds and repositions the SMAS layer.
- He removes the excess skin.
- He closes the incisions with fine sutures to ensure minimal scarring.
The entire procedure usually takes 2 to 4 hours, depending on complexity.
Recovery and Downtime
Recovery is typically faster than a deep plane facelift. Here’s a quick overview:
- First 3–5 days: Swelling, tightness, and mild bruising
- 1 week: Stitches removed; most patients resume light activity
- 2–3 weeks: Back to work and normal daily life
- 3 months: Final results settle in
Dr. Lisiecki and his team will provide a custom aftercare plan to ensure safe healing and optimal outcomes.
Risks and Considerations
As with any surgical procedure, there are risks, although complications are rare in skilled hands:
- Bruising or hematoma
- Temporary numbness
- Infection
- Asymmetry
- Scarring (usually hidden in natural folds)
Choosing a board-certified facial surgeon like Dr. Lisiecki helps minimize risks and ensures beautiful, balanced results.
SMAS Facelift vs Other Facelift Options
| Technique | Target Area | Recovery | Results Duration | Best For |
|---|---|---|---|---|
| SMAS Facelift | Lower face + neck | 1–2 weeks | 8–15 years | Moderate to severe sagging |
| Deep Plane Facelift | Deeper facial ligaments | 2–3 weeks | 10–15+ years | Heavy jowls, deep wrinkles |
| Mini Facelift | Jawline & cheeks only | <1 week | 3–5 years | Mild aging, early intervention |
| Skin-Only Facelift | Surface wrinkles & laxity | 1 week | 2–3 years | Temporary improvements, older method |
How Long Do SMAS Facelift Results Last?
You can expect your results to last 8 to 15 years, depending on age, skin quality, and lifestyle. While the aging process continues, your face will always look younger than if you hadn’t had the procedure.
Regular skincare, sun protection, and non-surgical treatments can help maintain your youthful look longer.
Why Choose Dr. Jeff Lisiecki for Your SMAS Facelift?
Top institutions trained Dr. Lisiecki, a board-certified plastic surgeon with years of focused experience in facial rejuvenation procedures. Known for his natural-looking results and refined surgical technique, he provides:
- Tailored surgical plans
- Concierge-level care
- Hidden incisions and artistic balance
- Before-and-after tracking and follow-up
Dr. Lisiecki and his team treat you with integrity, precision, and artistry at his NYC-based practice.
Book Your SMAS Facelift Consultation in NYC
If you’re ready to address signs of aging in the lower face and neck, a SMAS facelift may be your ideal solution. With less downtime and longer-lasting results than many traditional techniques, it’s a smart investment in your confidence and appearance.
📍 Visit Dr. Jeff Lisiecki’s SMAS facelift page to book your consultation and begin your personalized journey to a youthful, natural look.
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