Understanding the Difference

Patients often hear about both SMAS and deep plane facelifts and wonder which is better.

The answer depends on the individual patient.

What is the SMAS?

The SMAS (Superficial Musculoaponeurotic System) is a layer of tissue beneath the skin that plays an important role in facial ageing.

Modern facelift techniques generally involve repositioning this layer rather than tightening the skin alone.

What is a Deep Plane Facelift?

A deep plane facelift works beneath the SMAS layer, releasing key facial ligaments so that the deeper tissues can be repositioned more naturally.

This often allows for more comprehensive correction of:

  • Mid-face sagging
  • Jowls
  • Jawline definition
  • Neck laxity

Is one better than the other?

Neither technique is universally “better.”

The most appropriate procedure depends on:

  • Your facial anatomy
  • The degree of ageing
  • Skin quality
  • Previous surgery
  • Your desired outcome

An experienced facial surgeon will recommend the technique most suitable for your individual needs rather than applying the same operation to every patient.

The importance of an individual assessment

During your consultation, Dr Ferrando carefully evaluates your face before discussing which surgical approach is likely to achieve the most natural and long-lasting result.

Helpful Resources & Next Steps: For patient results, explore our Before & After Gallery, discover our specialist post-treatment care including Regenerating Enhanced Filler Gel Serum, learn more in our Facial Rejuvenation section, read our companion guide: Facelift Recovery: Week by Week. To discuss your personal treatment plan, book a consultation with Dr Giovanni Ferrando.

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