If you’re searching for a facelift that delivers subtle, long-lasting results, SMAS lifting could be the ideal choice. Unlike traditional facelifts that only tighten skin, this advanced technique targets deeper facial structures to create a natural, youthful appearance that endures over time.
At Dr. Jeff Lisiecki’s NYC clinic, SMAS lifting is performed with precision and artistry. In this detailed guide, you’ll learn everything you need to know about the SMAS facelift from how it works to what makes it superior, and whether it’s the right procedure for you.
What Is SMAS Lifting?
SMAS lifting is a type of facelift that goes beyond the surface. It addresses the Superficial Musculoaponeurotic System (SMAS) a layer of muscle and connective tissue beneath the skin that supports your facial contours. Over time, this layer loses firmness, resulting in sagging cheeks, jowls, and skin laxity.
Unlike older facelift methods that pull the skin tight, the SMAS technique lifts and repositions this deeper layer. The result is a refreshed look that appears completely natural not stretched or “done.”
Why the SMAS Layer Matters
The SMAS layer is essential in facial anatomy. It connects the facial muscles to the skin, controlling your expressions and underlying structure. When aging causes it to droop, your skin follows.
By repositioning this deeper layer, a SMAS facelift:
- Restores cheek volume
- Defines the jawline
- Smooths deep facial folds
- Minimizes neck sagging
Consequently, patients experience a youthful yet realistic enhancement.
SMAS vs. Traditional Facelift: What’s the Difference?
Traditional facelifts typically lift only the skin. While this may temporarily reduce wrinkles, it doesn’t correct the sagging beneath the surface. As a result, patients often experience shorter-term results and an artificial look.
In contrast, SMAS lifting targets the root of aging. It lifts the internal facial support system, allowing the skin to follow naturally. Therefore, results are:
- More stable and long-lasting
- Subtler and more youthful
- Less reliant on skin tension
SMAS Facelift vs. Deep Plane Facelift
While both procedures go deeper than skin-only facelifts, there are key distinctions:
| Feature | SMAS Lift | Deep Plane Facelift |
|---|---|---|
| Depth | SMAS layer | SMAS + deeper ligaments |
| Recovery Time | Shorter | Slightly longer |
| Ideal For | Moderate facial sagging | Significant volume loss or aging |
| Result Style | Subtle, refined lift | Dramatic, volumizing effect |
| Surgical Risk | Moderate | Higher (more complex dissection) |
Dr. Jeff Lisiecki often recommends SMAS lifting for patients seeking natural enhancement without the increased risk of deeper procedures.
How the SMAS Lift Works
Here’s a simplified breakdown of the SMAS lift process:
- Incisions are made discreetly along the hairline and around the ears.
- The SMAS layer is carefully dissected and lifted.
- Repositioned tissue is anchored in a higher, youthful position.
- Excess skin is removed, and the remaining skin is re-draped smoothly.
- Stitches are placed meticulously to minimize scarring.
The surgery typically lasts 2–4 hours and is performed under general anesthesia or sedation.
Key Benefits of SMAS Lifting
Natural Results
Surgeons lift the SMAS layer not just the skin which helps patients retain their normal facial expressions and avoid the ‘pulled’ look.
Lasting Effects
On average, results from a SMAS facelift last 10–15 years, making it one of the most durable options in facial rejuvenation.
Improved Facial Contours
You’ll notice sharper cheekbones, a more defined jawline, and smoother transitions from the lower face to the neck.
Minimal Scarring
Since the tension is distributed through deeper tissues, the surface heals better and scars remain discreet.
Are You a Good Candidate?
SMAS lifting is best for individuals who:
- Are between 40 and 70 years old
- Show signs of moderate to advanced aging
- Have sagging cheeks, jowls, or neck skin
- Are non-smokers and in good health
- Want long-term, natural-looking facial rejuvenation
During a consultation, Dr. Lisiecki evaluates your facial anatomy and goals to determine the best approach.
Recovery: What to Expect
Most patients recover more quickly than they expect. Here’s a general timeline:
- Day 1–5: Mild bruising, swelling, and tightness. You’ll wear a support garment.
- Week 1–2: Stitches are removed; you can resume light activities.
- Week 3–4: Bruising fades; you may return to work or social events.
- 1–3 Months: Final contours become visible as healing completes.
Importantly, Dr. Lisiecki provides detailed aftercare instructions and follows your progress closely to ensure optimal healing.
Are There Risks Involved?
Although SMAS lifting is safe when performed by an expert, all surgeries carry risks. These may include:
- Temporary numbness or swelling
- Minor scarring
- Bruising
- Hematoma (blood collection under the skin)
- Infection (rare)
- Nerve irritation (usually resolves within weeks)
Working with a skilled, board-certified surgeon dramatically lowers these risks. Dr. Lisiecki takes every precaution to prioritize patient safety.
SMAS Lift Before & After: What Kind of Results Can You Expect?
Patients who undergo SMAS lifting often report:
- Looking 10 to 15 years younger
- Feeling more confident in both professional and social environments
- Receiving compliments about how “refreshed” they look, rather than “surgical” results
To see real outcomes, explore Dr. Lisiecki’s SMAS facelift before & after gallery.
How Long Do Results Last?
One of the most significant advantages of the SMAS lift is its longevity. While every patient ages differently, results typically last a decade or more.
Moreover, you can maintain and even extend the results with non-surgical options such as:
- Botox
- Dermal fillers
- Microneedling
- Skin tightening treatments
- Medical-grade skincare
Dr. Lisiecki often combines surgery with these enhancements for the best outcome.
SMAS Lift Cost in NYC
Pricing varies based on:
- Surgeon’s experience
- Complexity of your case
- Anesthesia and facility fees
- Post-surgical care
Estimated Range:
$12,000 – $25,000+ in New York City
Dr. Lisiecki’s office offers full transparency during your consultation and outlines every component of the cost — so there are no surprises.
Why Choose Dr. Jeff Lisiecki for SMAS Lifting?
Dr. Lisiecki is a board-certified plastic surgeon in NYC with elite training in advanced facelift techniques. His SMAS lifts are known for being:
- Subtle and natural-looking
- Tailored to each patient’s facial anatomy
- Performed in a state-of-the-art surgical facility
- Supported by expert pre- and post-operative care
Patients trust Dr. Lisiecki for his refined aesthetic sense and meticulous approach to facial rejuvenation.
Final Thoughts: Is SMAS Lifting Right for You?
If you’re exploring long-lasting facial rejuvenation, SMAS lifting is one of the most effective and natural-looking solutions available. By targeting the foundational support of your face, this technique delivers a refreshed, youthful appearance that looks like you — only younger.
Ready to learn more?
Explore your options with Dr. Jeff Lisiecki in NYC and schedule your consultation today.
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