SMAS Facelift - Imbrication And Plication

May 2018 ยท 2 minute read

Facelift Surgery is indicated for mature people to relax the appearance of wrinkles, fine lines and sagginess in the face area. The mid region of the face is principally focused which warps from the nasobial fold, the cheeks and jowls and sometimes the throat and double chin look.

Traditionally surgeons used to work up superficial tissues to pull and stretch it so as to smooth the wrinkles and reveal a wrinkle free skin. Whereas, with all the SMAS Facelift process surgeons strategy the mid face atrophy working with the deeper layers mid face musculature instead of the superficial cells. аппаратный смас лифтинг Москва has become a massive hit attaining the best consequences of era defiance, preventing the average “plastic face” appearance.

SMAS stands for Sub Muscular Aponeurotic System. This is the eloquently name for its profound airplane muscle valve and fat pads that enwraps the cheek and jowl region of the face. Based upon the severity of the wrinkles; skin atrophy and reserved skin elasticity of the individual, the SMAS flap can partly be removed or remodeled. There are a few deep rooted surgical plans that have to be determined for each patient. There are two facets of the surgical planning- Imbrication or even Plication.



The surgical planning involves the surgeon will dissect the SMAS Flap and remove the excess part of it that has been affected with skin atrophy whilst raise the rest of the flap to a better position to achieve the targeted skin stretching. The flap is pulled in upward direction (exceptional) towards the corner of the eye; or dragged backwards (posterior) to the back of the ears.

The pulled up skin is sutured or stapled to a better place which permanently holds the tight skinned appearance. Absorbable sutures do not need removing, and also the tissue growth and recovery of the surgical fixes the facial skin retains around the new positioning very unremarkably without screaming the simple fact that the individual has gone under the knife.



SMAS Plication



The second choice opines on folding and suturing the surplus tissue affected with atrophy rather than removing it. The excess tissue is clasped, lifted and sutured underneath the top layer of the SMAS flap. It’s followed with the same elevation of the remaining flap to either a superior or posterior position and sutured. The plication of the tissues gives the cheeks a subtle augmentation of a plump and more youthful look.