SMAS Facelift Guide | Deep Facial Rejuvenation for Long-Lasting Results

Looking for a facelift that goes beyond surface-level tightening? The SMAS Facelift is a gold-standard technique in facial plastic surgery, targeting both skin and the deeper muscle layers for natural, longer-lasting rejuvenation. Especially favored in Korea and globally for its balance of dramatic results and natural appearance, this procedure is ideal for addressing visible signs of aging in the mid-to-lower face and neck.

What Is a SMAS Facelift?

SMAS stands for Superficial Musculoaponeurotic System—a layer of muscle and connective tissue beneath the skin that controls facial expression and structure.

A SMAS facelift involves:

  • Lifting and tightening the SMAS layer, not just the skin
  • Removing or repositioning sagging fat and tissue
  • Redraping the skin for a youthful but natural contour
  • Enhancing the jawline, cheeks, and neck

This technique provides deeper, longer-lasting results than a skin-only lift.


Who Is a Good Candidate?

You may be an ideal candidate for a SMAS facelift if you:

  • Are in your 40s to 70s
  • Have moderate to severe sagging in the lower face or neck
  • Want a natural, not “pulled” look
  • Have jowls, deep nasolabial folds, or neck bands
  • Are in good health and a non-smoker


Key Benefits of a SMAS Facelift

  • Lifts deeper structures for a more youthful facial foundation
  • Natural-looking results without tension on the skin
  • Improves jawline, cheeks, and neck
  • Longer-lasting than mini or skin-only facelifts (up to 10+ years)
  • Can be combined with fat grafting, eyelid surgery, or a brow lift


SMAS Facelift vs. Other Techniques

TechniqueTarget AreaDepth of LiftResult LongevityScarringSMAS FaceliftMid/lower face, neckSkin + muscle layer8–12 yearsHidden near earsMini FaceliftLower face onlySkin + partial SMAS3–6 yearsSmaller incisionsDeep Plane FaceliftEntire faceUnder SMAS and ligaments10–15 yearsMore complexThread LiftMid/lower faceSubdermal only6–18 monthsNo surgical scars


Procedure Overview

  1. Consultation: In-depth facial evaluation and surgical planning
  2. Anesthesia: General or twilight sedation
  3. Incisions: Hidden along the hairline and around the ears
  4. SMAS Dissection: The SMAS layer is lifted, trimmed, or repositioned
  5. Skin Redraping: Excess skin removed and sutured naturally
  6. Optional Add-Ons: Fat grafting, neck lift, or laser resurfacing

Surgery Duration: 3–5 hours
 Outpatient procedure (most patients go home the same day)


Recovery Timeline

  • Days 1–3: Swelling, tightness, mild discomfort
  • Day 5–7: Sutures removed; bruising begins to fade
  • Day 10–14: Return to work/social activities
  • 1–2 months: Final contours become visible
  • 3+ months: Scar fades and collagen builds

Tip: Scar gels, sun protection, and post-op skincare help ensure smooth healing.


How Long Do SMAS Facelift Results Last?

  • 8–12 years, depending on genetics, lifestyle, and skin quality
  • Maintenance with Botox, fillers, or RF tightening can prolong results
  • Avoid smoking and sun exposure to extend longevity


SMAS Facelift Cost (General Estimates)

RegionEstimated Cost (USD)South Korea₩9M – ₩15M ($6,800 – $11,500)USA / Canada$12,000 – $20,000UK / EU£8,000 – £15,000


Cost depends on surgeon experience, complexity, and whether additional procedures (neck lift, fat grafting) are performed.

Combining SMAS with Other Procedures

To enhance overall results, a SMAS facelift is often paired with:

  • Neck lift – Tightens sagging skin and neck bands
  • Fat grafting – Restores lost volume in cheeks or temples
  • Blepharoplasty (eyelid surgery) – Opens the eyes and removes puffiness
  • Laser resurfacing or exosomes – Smooths skin texture and tone



The SMAS Facelift is a trusted, high-impact solution for individuals seeking long-term facial rejuvenation. By targeting deep facial structures, it delivers natural contours, firmer skin, and a more youthful profile—with results that last nearly a decade or more.

Considering a SMAS facelift in Korea?
Clinics in Gangnam, Seoul are internationally known for expert facelift surgeons, advanced SMAS techniques, and concierge services for foreign patients.

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