The SMAS consists of a superficial fascia that envelops the facial muscles responsible for facial expressions. Since that description in 1976, the SMAS has become a recognized unit to be manipulated during a facelift. It was first noted in 1799 by Sir Charles Bell, later described by Gray in 1859 and finally studied and analyzed by Mitz and Peyronie in their anatomic study in 1976. SMAS refers to the Superficial MusculoAponeurotic System. The SixSurgery team also includes the ‘High SMAS’ technique taught by the world famous Dr. Harold Silver, who was known for his “3 day facelifts,” because by using his technique a patient could go back to work looking normal within 3 days. Dan Baker (one of the best known facelift surgeons in the world), and Dr. Our SixSurgery team utilizes the surgical technique that was championed by the renown Dr. And remarkably, the surgeon who pioneered the deep plane facelift now no longer does them. The experts followed the twins for over 10 years, and the results were very similar. One twin received a more superficial facelift, while the other twin received a deep-plane facelift. In a well-known study, renowned experts performed facelifts on sets of twins.
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A deep-plane facelift involves the SMAS and skin being lifted and tightened together instead of being separated. A SMAS facelift is an effective and less invasive procedure than a deep-plane facelift. This, in turn, creates a natural and long-lasting result.
A SMAS facelift allows the superficial musculoaponeurotic system and skin to be separated and manipulated in different directions with different tensions. The SixSurgery team focuses primarily on a minimally invasive superficial procedure that involves the repositioning of the Superficial MusculoAponeurotic System, also known as SMAS. A shift in focus away from “tightening” the skin, and instead focusing on repositioning underlying musculature has lead to more natural results. Over the past several decades aesthetic surgeons have gained a greater understanding of how aging affects the skin and muscular tissue. The SixSurgery team offers several techniques that can be used during a facelift to give individualized results to patients. Our Innovative Facelift Surgical Techniques Thomas Constantine Toronto Plastic Surgeon
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