SMASectomy Lifting

Simultaneous lifting of sagging skin, fascia and muscle layers!

#liftingup #saggingjawline for a smooth V line

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iWELL Plastic Surgery’s

SMASectory Lifting

Depending on the characteristics of your skin and facial muscles, you may experience sagging cheeks and jowls and develop wrinkles even at a relatively young age. During the process of aging, the ligaments that secure the facial muscle and skin layers in place will inevitably stretch out, resulting in reduced skin elasticity and an older appearance. Also, depending on the individual facial characteristics, sagging cheeks and face may result after facial contouring surgery or orthognathic surgery. In this case, an accurate assessment of the cause, individual bone structure, facial features, skin characteristics, etc. must be made, based on which the most appropriate surgical method should be chosen. iWELL’s SMASectomy lifting procedure doesn’t just lift the skin, but it also involves removing the SMAS tissue that has become stretched out and separating each tissue layer to lift the skin, fat and SMAS layers separately in the most appropriate directions to ensure the best possible lifting effect. This is a procedure that improves sagging of the skin and muscles for a definite and long-lasting lifting effect.


Duration of Surgery

1 hour


Sedation/Local Anesthesia



Recovery Period

7 days

Suture Removal

5 ~ 10 days

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Why Do the Cheeks Sag After Facial Contouring or Orthognathic Surgery?

The masseter, or the masticatory muscle, is found between the cheekbones and the lower jawbone. It contracts when you clench your teeth or when you chew food. If the cheekbones are osteotomized without being securely fixed in place, they may move downward due to the contraction of the masseter. As a result, the fat tissue will also droop down and the facial muscles will have reduced ability to contract, which in turn causes sagging cheeks and jowls.

Must Lift Both the Skin and SMAS Layers!

The superficial muscular aponeurotic system (SMAS), which is connected to the facial muscles that contribute to facial expressions, has a direct influence on the formation of wrinkles on the face and decrease in elasticity. iWELL’s SMASectomy lifting involves separating the skin layer and the SMAS layer in two steps to remove the stretched SMAS and skin layers as a way to tighten skin. This can lead to more definitive results than the conventional face lifting procedure which only removes the skin layer. Also, sagging fat is transferred during the lifting process in order to create a more youthful appearance. This procedure is recommended to those who did not experience any effectiveness from a non-invasive lifting procedure or those who have a severe case of sagging skin, as it is highly effective in treating sagging cheeks, jawline and neck as well as deep wrinkles and laugh lines.

SMASectomy Lifting Procedure

01 An incision is made into the side hairline, along the front and back of the ears and back to the hairline.
02 The skin, subcutaneous adipose tissue, and SMAS layers are carefully separated, and excessively sagging tissue is removed.
03 The skin is pulled up to the extent necessary taking into consideration the sagging area and state of the wrinkles and is firmly secured in place.
04 The incisions are sutured closed.

Separation of the Retaining Ligaments

The retaining ligaments play the role of securing various tissues in place.

In the face, there are retaining ligaments that connect the skin and fat tissues to the bones.
However, these ligaments become loose due to aging, and as a result, the skin and fat tissues begin drooping downward. During surgery, the retaining ligaments below the SMAS must be removed because otherwise, they will pull down the SMAS layer again after surgery. However, the retaining ligaments are located deep under the skin where they are surrounded by many nerves, which is why a highly skilled plastic surgeon with abundant experience must perform the procedure.

Conventional Lifting VS SMASectomy Lifting

iWELL’s SMASectomy Lifting Conventional Lifting
Method The sagging SMAS layer is pulled up and fixed in place Only the skin layer is pulled up and fixed in place
Effects Addresses sagging skin, fat and muscle Addresses only sagging skin

Definite V Line Lifting Effect

More youthful appearance
Slimmer face
Addresses sagging cheeks and reduced elasticity
Addresses sagging outer corners of the mouth
Lifts the sagging jowls to create a slender jawline


Special Characteristics of iWELL’s SMASectomy Lifting Procedure

Semi-Permanent Results
It not only lifts the superficial layer of the skin but also removes the SMAS layer that has become stretched out for a semi-permanent lifting effect.
Unnoticeable Scarring
A minimal incision is made in an area that is difficult to see so that the scar doesn’t become visible.
Definite Skin Lifting Effect
It addresses the looseness of the SMAS layer, which is the underlying cause of skin sagging, for a long-lasting lifting effect.
Plastic Surgeon Specializing in Lifting Procedures
A plastic surgeon specializing in lifting procedures is assigned to each patient for systematic one-on-one care from consultation to surgery.
Short Procedure and Fast Recovery
Because a minimal incision is made, there is minimal bleeding and the bruising, swelling and scarring after surgery are minimized, thereby allowing the patient to return to his/her everyday routines quickly.

SMASectomy Lifting Is Recommended For/TO

case 01Those experiencing sagging of the cheeks/jowls after orthognathic or facial contouring surgery

case 02Those who want a powerful lifting effect

case 03Those who have to raise their brows to open their eyes

case 04Those with a sagging jawline

case 05Those who have deep wrinkles all over the face

case 06Those with unsmooth facial contours

case 07Those who want a long-lasting lifting effect

iWELL’s SMASectomy Lifting: Before & After Photos

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