SMAS Facelift - Imbrication and Plication

Facelift Surgery is indicated for adult 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 in the nasobial fold, the cheeks and jowls and sometimes the throat and double chin look.

Traditionally surgeons used to operate up superficial tissues to pull and pull it so as to smooth the wrinkles and reveal a wrinkle free skin. Whereas, with the SMAS Facelift process surgeons approach the mid face atrophy working with the deeper layers mid face musculature rather than the superficial cells. This principle has become a massive hit achieving the best consequences of age defiance, preventing the average "plastic face" look.

This is the eloquently title for its deep plane muscle flap and fat pads that enwraps the cheek and jowl region of the face. Depending upon the seriousness of the wrinkles; skin atrophy and reserved skin elasticity of the individual, the SMAS flap could 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 preparation- Imbrication or even Plication.



The surgical preparation involves that the surgeon would dissect the SMAS Flap and take out the surplus portion of it that was changed with skin atrophy whilst raise the rest of the flap to a better position to accomplish the targeted skin stretching. The flap is pulled in upward direction (superior) towards the corner of the eye; or pulled backwards (posterior) into the back of the ears.

The dragged up skin is sutured or stapled into a better position that forever keeps the tight skinned look. Absorbable sutures do not need removing, and the tissue growth and healing of the surgical wounds that the facial skin retains up to the new placement very unremarkably without screaming the simple fact that the person has gone under the knife.



The second choice opines on folding and suturing the excess tissue affected with atrophy instead of removing it. The extra tissue is clasped, lifted and sutured underneath the top layer of the SMAS flap. ультразвуковой смас лифтинг лица followed using the same elevation of the rest of the flap to a superior or posterior position and sutured. The plication of the tissues provides the lips a subtle enhancement of a plump and much more youthful look.