iWELL Plastic Surgery’s
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
5 ~ 10 days
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
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