SMAS Lifting

SMAS (Superficial Musculoaponeurotic System) Lifting is a facial sagging treatment popular in South Korea. The treatment is a surgical technique that addresses the sagging of facial tissues and rejuvenates your facial appearance. It focuses on tightening the underlying structures of the face, especially the SMAS layer, a fibrous network of tissue covering your facial muscles. 


If you want to address the deeper layers of your face with facelift surgery in Seoul, visit Mina Plastic Surgery.

What is SMAS Lifting?

SMAS lifting, also known as Superficial Musculoaponeurotic System lifting, is a popular surgical technique used to address signs of facial aging and rejuvenate the appearance of the face. It is often performed alongside other face tightening procedures.

The Superficial Musculoaponeurotic System (SMAS) is a fibrous tissue layer covering the facial muscles. With aging and other factors such as gravity and sun exposure, the SMAS can lose its elasticity, leading to sagging skin, jowls, and deep wrinkles. SMAS lifting aims to tighten and reposition this layer, providing a more youthful and lifted appearance to the face.

The procedure involves making incisions in strategic locations around the hairline and/or behind the ears to access the underlying SMAS layer. The surgeon then carefully lifts and tightens the SMAS, elevating the facial muscles and skin. Excess skin may also be removed to achieve a smoother and more contoured result.

SMAS lifting is considered more comprehensive and longer-lasting than traditional facelift techniques, primarily focusing on tightening the skin without addressing the deeper facial structures. By targeting the SMAS layer, the procedure creates a more natural-looking outcome with less risk of a “pulled” appearance.

Types of SMAS Lifting

You can have facial lifting and tightening on your whole face or partial areas, such as:


  • Eye area
  • Cheek
  • Nasolabial fold
  • Chin
  • Neckline

A chin implant, also known as chin augmentation or genioplasty, is a surgical procedure that involves the placement of a synthetic implant or the modification of the patient’s existing chin bone to enhance the shape, size, and projection of the chin.

 The implant used in chin augmentation is typically made of biocompatible materials, such as silicone or porous polyethylene. It is designed to mimic the natural contours of the chin and is available in various sizes and shapes to suit different facial proportions and aesthetic goals.

 Chin implants commonly address concerns such as a weak or recessed chin, lack of definition in the lower face, or facial imbalance. Adding volume and projection to the chin can improve facial harmony and create a more balanced profile.

Who is a Good Candidate for SMAS Lifting?

A good candidate for SMAS lifting is typically someone who shows signs of facial aging, such as sagging skin, jowls, and deep wrinkles, primarily in the lower face and neck area. Here are some key factors that make someone a suitable candidate for SMAS lifting:

  • Aging. SMAS lifting is commonly performed on patients in their 40s to 60s. But it could be earlier if the individual is showing more extent of facial aging rather than a specific age range.
  • Skin elasticity. Patients with moderate to significant skin laxity or loss of elasticity are good candidates for SMAS lifting. The procedure’s effectiveness relies on lifting and repositioning the SMAS layer and the overlying skin.
  • Facial Structure. Ideal patients have a relatively well-defined facial bone structure. SMAS lifting can enhance the contours of the face and provide a lifted appearance, but it works best on individuals with sufficient underlying facial support.

Potential candidates must consult a qualified cosmetic surgeon and have a thorough evaluation. They should be in good overall health and not have any medical conditions that may increase the risks associated with the procedure and anesthesia.

Besides these concerns, it is important to note that every individual is unique, so a consultation with your cosmetic surgeon is necessary to determine if you are a good candidate. Your surgeon will check on some factors to tailor your best treatment plan.

SMAS Lifting: What to Expect

You will have an initial consultation with a qualified facelift cosmetic surgeon. During this appointment, you can discuss your concerns, medical history, and goals for the procedure. The surgeon will evaluate your facial anatomy and skin condition and determine if you are a suitable candidate for SMAS lifting. Make sure to ask any questions or address any concerns during this stage.


SMAS lifting is usually performed under general anesthesia or intravenous sedation, depending on the surgeon’s preferences and the extent of the procedure. The surgeon will make incisions in strategic locations around the hairline and/or behind the ears to access the SMAS layer.


During SMAS tightening, the surgeon will lift and reposition the SMAS layer to create a more youthful contour and address sagging facial tissues. Excess skin may be trimmed to achieve a smoother and more natural-looking result. Once the lifting and reshaping are complete, the incisions are carefully closed with sutures or other techniques.


SMAS lifting is typically an outpatient procedure, meaning you can usually go home on the same day. In some cases, an overnight hospital stay may be recommended for observation. Your face may be wrapped in bandages or dressings to support healing and reduce swelling. Sometimes, a drainage tube may be placed temporarily to remove excess fluid.


Expect some degree of swelling and bruising in the treated areas. This is normal and should gradually improve over the following weeks. You may experience mild to moderate discomfort, which can be managed with prescribed pain medications.


Remember to visit your surgeon for follow-up appointments to monitor the healing process and remove any stitches or sutures needed.

Why Choose Mina Plastic Surgery for SMAS Lifting?

At Mina Plastic Surgery, we have Dr. Cha. He diagnoses the extent of facial wrinkles and skin laxity and decides where to make an incision. During the surgery, you will be under local anesthesia, and Dr. Cha will create incisions on the scalp or in front of your ears. With this, the skin layer becomes exfoliated and separated, which allows the SMAS layer removal. Other skin tissues are pulled up, while loose skin tissues are removed and sutured.


The bone structure and the outline are the ‘hidden cards’ of a beautiful face. They are less noticeable but play a huge part in making the face more beautiful. With the right angle, proportion, and symmetry, the bone structure and the outline of the face will provide a gorgeous canvas for other facial features to set in.

‍The ‘ideal’ proportion of the frontal face would be the ratio of 0.8:1:1:1:0.8. 0.8 indicating the space starting from the outer corners of your eyes, to where the face ends, 1 being each eye, and the nose. The desired vertical ratio tends to be 1:1:0.8~1, first starting from the hairline and ending right beneath the eyebrows, second from the eyebrows to the tip of the nose, and 0.8~1 being from the tip of the nose to the chin.

‍Dr. Cha of MINA PLASTIC SURGERY considers the proportion and balance of the face as his priority throughout the entire process – from the initial design to the actual operation. With his expertise built over numerous years of experience, Dr. Cha of MINA PLASTIC SURGERY will make sure he meets your needs, and leaves you satisfied with the result.

Are you Planning to come to South Korea for SMAS Lifting Procedure ?  

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