SMAS Facelift
Conveniently located to serve the areas of Miami, FL

A SMAS facelift is a well-established technique for surgical facial rejuvenation. This technique targets the layer of facial tissue known as the Superficial Musculoaponeurotic System (SMAS). It repositions and tightens the SMAS layer to restore youthful facial contours and improve sagging in the lower face and neck, creating natural-looking and long-lasting results. (1)
The natural aging process prompts visible changes in the face, with skin laxity, volume loss, and sagging becoming more pronounced over time. While skincare and non-invasive treatments can provide subtle or temporary improvements, surgical intervention is optimal for lasting rejuvenation. For those seeking transformative yet natural-looking results, a SMAS facelift offers a powerful solution by addressing not just the surface but the underlying tissues that define youthful facial contours.
Dr. Liann Chin Casey at the Aeris Plastic Surgery & Aesthetic Medicine specializes in advanced facial rejuvenation techniques, including the SMAS facelift. The team at Aeris is committed to delivering individualized care and exceptional outcomes, combining surgical expertise with an eye for natural beauty. If you are considering a facelift, our team is ready to guide you through the process with precision and compassion.
Schedule a personal consultation by contacting Aeris Plastic Surgery & Aesthetic Medicine online or calling (305) 280-2947.
Contents
About SMAS Facelifts
A SMAS facelift is an in-depth surgical procedure designed to lift and reposition the deeper structures of the face, specifically the muscles and connective tissues beneath the skin known as the SMAS layer.
The SMAS technique is highly effective for addressing sagging in the lower face, jawline, and upper neck. This approach can improve the appearance of jowls, soften nasolabial folds, and enhance jawline definition, all without causing an unnatural appearance. (2)
Benefits
SMAS facelifts offer a wide array of benefits that extend beyond surface-level improvements. Some of the key advantages reported by our patients include:
- Natural-Looking Rejuvenation: By lifting the SMAS layer, this facelift creates youthful contours without looking artificial.
- Longer-Lasting Results: Because the SMAS layer is repositioned, results often last significantly longer than those achieved with traditional facelift techniques.
- Improved Jawline Definition: Sagging skin and jowls are minimized, resulting in a firmer, more sculpted jawline.
- Reduced Nasolabial Folds: Deep smile lines between the nose and mouth are softened for a smoother, more youthful look.
- Minimal Skin Tension: The skin is not overly pulled, which reduces the risk of an unnatural or windswept appearance and promotes better healing.
- Boosted Confidence: Many patients experience enhanced self-esteem and satisfaction with their refreshed appearance.
Ideal Candidates
The SMAS facelift is best suited for patients who are experiencing moderate to advanced signs of facial aging and are looking for comprehensive facial rejuvenation. Ideal candidates usually:
- Have noticeable sagging in the midface, cheeks, and jawline
- Are concerned with deep nasolabial folds and drooping facial structures
- Have good skin elasticity and overall health
- Desire long-lasting, natural-looking results
- Understand the scope of recovery and have realistic expectations
During your consultation at Aeris, Dr. Casey will determine if you are an ideal candidate for a SMAS facelift.
Personal Consultation
The first step to a renewed facial aesthetic is scheduling a personal consultation with Dr. Casey. During this session, she will conduct a thorough examination of your facial anatomy, review your medical history, and discuss your aesthetic concerns and expectations with you. Using this information, Dr. Casey will recommend a personalized treatment plan that will ensure natural-looking results. The consultation also provides an opportunity for you to ask questions and gain a detailed understanding of the SMAS facelift process.
The team at Aeris is dedicated to ensuring you feel informed, comfortable, and confident every step of the way.
To get started on your facial rejuvenation journey, schedule a personal consultation online or by calling (305) 280-2947.
Preparation
Proper preparation plays a critical role in achieving a successful facelift outcome. Following your consultation, Dr. Casey will provide you with detailed preparatory instructions, which may include:
- Avoiding alcohol and nicotine for several weeks before and after surgery to promote optimal healing
- Discontinuing medications and supplements with blood-thinning properties
- Arranging for a responsible adult to accompany you on the day of surgery and assist you during the initial recovery period
- Completing necessary lab tests or medical evaluations to ensure you are in good health for surgery
Dr. Casey and the Aeris staff will guide you through the entire preparation process to ensure you are ready for your treatment.
Procedure

SMAS facelifts are performed utilizing general anesthesia to ensure you remain comfortable throughout the process. Dr. Casey will begin by making carefully placed incisions, typically hidden within the natural contours around the ears and hairline. Through these incisions, she will lift and reposition SMAS layer allow for a more natural and comprehensive lift.
By working within the SMAS layer, Dr. Casey can achieve profound rejuvenation while maintaining the facial expressiveness that defines your individuality. Once the adjustments are complete, Dr. Casey will meticulously close your incisions to minimize scarring and ensure optimal healing. Patients return home the same day, accompanied by a trusted adult.
Recovery
Following your procedure, the Aeris team will provide detailed aftercare instructions, including how to care for your incisions, reduce swelling, and optimize your recovery. Patients can generally expect:
- Swelling and bruising for the first one to two weeks
- Mild discomfort, which can be managed with prescribed medication
- A return to light activities within two weeks
- To resume strenuous activities after four to six weeks, or until approved
Dr. Casey and our staff will be available throughout your recovery to address any concerns. We will help you schedule follow-up appointments to monitor healing progress.
Results
SMAS facelifts are associated with high patient satisfaction rates (3) and are known for their natural elegance and long-term results. Choosing an experienced specialist like Dr. Casey can be key to achieving the best possible outcome. Once initial swelling subsides, patients enjoy:
- A more defined jawline and neckline
- Diminished nasolabial folds and wrinkles
- A youthful, refreshed overall appearance
While individual results may vary, many patients maintain their youthful improvements for several years, especially with proper skincare and a healthy lifestyle.
Corresponding Procedures
For patients seeking comprehensive facial rejuvenation, Dr. Casey may combine your SMAS facelift with additional procedures such as:
- Neck Lift: Facelifts and neck lifts are commonly performed as a comprehensive procedure. This procedure enhances the contours of the neck and removes excess skin.
- Eyelid Surgery (Blepharoplasty): A SMAS facelift does not typically address the upper face. For patients who want to address sagging or puffiness in the upper face, we may recommend an eyelid lift, also known as blepharoplasty. This procedure refreshes the eye area by addressing sagging eyelids and/or under-eye bags.
- Brow Lift: Brow lifts elevate the brow for a more open, youthful eye appearance. These procedures will also effectively reduce signs of aging throughout the forehead, making it a highly effective and recommended addition to a SMAS facelift.
Cost of a SMAS Facelift in Miami
The cost of a SMAS facelift at Aeris varies based on the complexity of the procedure and whether any additional treatments are performed. After your consultation, Dr. Casey will provide you with a detailed, personalized price estimate that outlines all associated costs.
Schedule your consultation today to explore your SMAS facelift options and obtain a price quote. You can schedule online by submitting our contact form, or you can call our Miami office directly at (305) 280-2947.
FAQ
How long does recovery take after a SMAS facelift?
Most patients return to light activities within two weeks, but full recovery can take several weeks to months, depending on individual healing.
Will my results look natural after my SMAS facelift?
Yes. The SMAS technique results in natural-looking, youthful contours. Choosing a surgeon who is knowledgeable about the intricacies of the SMAS layer is paramount for achieving natural results that preserve your unique features.
How long do SMAS facelift results last?
Results typically last about 10-15 years. Patient experiences may vary.
Are the scars from a SMAS facelift noticeable?
Incisions are strategically placed along natural curves and within the hairline to minimize visible scarring. Over time, scars typically fade and become more inconspicuous.
Can I combine a SMAS facelift with other procedures?
Yes. Many patients combine their facelift with procedures like eyelid surgery, brow lifts, or fat grafting for more comprehensive facial rejuvenation. A neck lift is typically a component of facelift procedures, as these areas often develop signs of aging together.
What is the SMAS layer?
The SMAS layer, or the Superficial Musculo-Aponeurotic System, is the layer of tissue beneath the facial skin and fat. Your surgeon will adjust this network of muscles and connective tissue to help you achieve results that appear natural and harmonious.
References
- Joshi K, Hohman MH, Seiger E. SMAS Plication Facelift. PubMed. Published 2022. https://www.ncbi.nlm.nih.gov/books/NBK531458/
- Whitney ZB, Jain M, Zito PM. Anatomy, Skin, Superficial Musculoaponeurotic System (SMAS) Fascia. PubMed. Published 2020. https://www.ncbi.nlm.nih.gov/books/NBK519014/
- del Toro E, Aldrich J. Extended SMAS Facelift. PubMed. Published 2021. https://www.ncbi.nlm.nih.gov/books/NBK562296/





