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
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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 LongevityScarring SMAS 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
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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.