All You Need To Know About The SMAS Facelift Procedure - Dr Lanzer

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SMAS – Patient Information

SMAS – Patient Information

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When you have been browsing facelift techniques, you have probably come across the SMAS facelift technique. The SMAS facelift is a specific technique used to manipulate the superficial muscular aponeurotic system, an area of musculature of the face. To learn more about the SMAS facelift, please refer to our information below.

What Is a SMAS facelift (rhytidectomy)?

The SMAS facelift is a deep rhytidectomy that goes underneath the SMAS, also known as the fibrous layer that covers the muscles deep in the face. However, this type of rhytidectomy tends to be riskier than other facelift procedures, since there are many nerves in this area. Consequently, Dr Lanzer perfected a special type of rhytidectomy, which combines tumescent liposculpture and a rhytidectomy.

Which Patients May Benefit from a Rhytidectomy Procedure?

Patients struggling with a saggy neck and face, caused by the natural ageing process, can be good candidates for a rhytidectomy. Ideally, the patient also has some elasticity in the skin and a well-defined bone structure, since this may improve the results the patient can obtain from a rhytidectomy.

Most patients choosing a rhytidectomy are between the age of forty and sixty, although there have been cases where a rhytidectomy was executed in patients aged seventy to eighty. Therefore, there is no age limit to a rhytidectomy, providing the patient is in good general health.

What Changes Cannot Be Made with a Rhytidectomy?

A rhytidectomy will lift the lower half of the face, more specifically the jawline and the neck. However, if you struggle with sagging eyebrows or forehead wrinkles, the standard rhytidectomy may not be the right option for you. In these cases, cosmetic surgeons usually execute a brow or forehead lift.

Even though a rhytidectomy can make your skin appear smoother and firmer, the treatment is not intended to tackle loose skin, fine wrinkles, freckles and rough areas. For skin-related problems, patients would benefit more from a laser resurfacing procedure.

The rhytidectomy does not affect the base structure of the face either, but it does make the face appear younger by lifting surrounding muscles and structures. The surgeon may also remove some fat in areas where the fat is dragging the face down and give you an overall older appearance.

Discover SMAS Face Lift Advantages!

An increasingly large amount of patients now opt for SMAS Face Lift procedures. The procedure can be performed under a local anaesthetic or a general anaesthetic, and can be combined with other surgical treatments depending on the aesthetic goals of the patient.

If you’re looking to remove fat from the face, get a free consultation at Melbourne Face Lift clinic with Dr Lanzer.

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How Is the Rhytidectomy Performed?

The rhytidectomy could be performed in hospital or in a private cosmetic surgery facility who can provide a safe and hygienic environment to perform the procedure in. Depending on your aesthetic goals, the cosmetic surgeon can choose one of three techniques for your rhytidectomy; this includes the traditional facelift, limited incision facelift and neck lift. Read on to find out more about each of these techniques.

The Traditional Facelift

For a traditional facelift, the cosmetic surgeon will make an incision in the hairline and the temples. The incision usually continues around the ear and eventually ends in the lower part of the scalp. However, the surgeon may deviate from these incisions if conditions arise that make this necessary.

During a traditional facelift, the surgeon can sculpt or redistribute fat surrounding the face, jowls and the neck. He can also reposition any underlying tissue, more specifically deeper layers of the face and muscles. Once this is done, the surgeon can redrape the skin over the lifted structures and remove any excess skin that is no longer necessary.

The Limited Incision Rhytidectomy

A limited incision rhytidectomy also focusses on the repositioning and redistribution of fat and underlying structures, but the incisions are relatively shorter. The incisions are situated around the temple, and then continued around the ear. In some cases, the surgeon can also make an incision within the lower eyelid and underneath the upper lip.

The Neck Lift

To perform a neck lift, the surgeon needs to make an incision in front of the ear lobe, going around the ear and ending up in the lower scalp. The neck lift is often performed in patients suffering from sagging jowls, loose neck skin and the accumulation of fat underneath the chin.

What Are the Risks of a Rhytidectomy?

Every surgical procedure is accompanied by some risks, which is why patients should inform themselves sufficiently about these risks before considering a surgical procedure. Risks accompanying a rhytidectomy include: anaesthesia-related problems, bleeding, infection, poor wound healing, loss of skin, facial nerve injury, prolonged swelling and similar risks that usually accompany a surgical procedure.

Before you can have the procedure done, you will be required to sign a consent form; this consent form states that you are aware of the risks involved and wish to go ahead with the procedure. If you do not understand the risks when a surgeon asks you to sign a consent form, do not hesitate to answer questions. As a patient, it is your right to understand your procedure fully.

At the Dr Lanzer Clinic, patients obtain a lot of information about their procedure before it takes place. In addition to an overview of the risks, the information provided also includes vital info about your recovery process and the procedure itself.


A rhytidectomy is a procedure that can rejuvenate the face, but it is also a complex procedure that should be executed by a licensed and experienced cosmetic surgeon. Dr Lanzer is a licensed cosmetic surgeon and dermatologist with more than 30 years of experience. He also specialises in rejuvenating surgery and has perfected rhytidectomy methods to be a little safer for his patients. Even though this is no guarantee that nothing can go wrong, the experience and methods used by Dr Lanzer ensure that you are in safe and capable hands during your stay at the Dr Lanzer Clinic.

For more information about the rhytidectomy or related procedures, please refer to our information pages or contact our receptionists to book a consultation at the Dr Lanzer Clinic. By making an appointment, you can find out more about the rhytidectomy, but also determine if the treatment is right for you.

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Let us know the procedure(s) you are considering and your details and we will get back to you with a time and day to suit you.

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