SMAS Facelift In Thailand

The SMAS facelift is a surgical treatment that specifically focuses on the lower two-thirds of the face. This procedure is conducted to treat issues such as drooping skin, surplus fat, sagging jowls, and diminished volume in the cheeks. Compared to a conventional facelift that focuses on the outermost layer of facial skin, this procedure is less intrusive and allows for a quicker recovery.
The SMAS, also known as the superficial muscular aponeurotic system, is a layer of tissue located beneath the skin and subcutaneous tissue. It serves as a crucial support framework for the facial region. Altering this anatomical structure modifies the facial appearance.

As the facial skin undergoes aging, there is a decline in flexibility in both the epidermis and the SMAS membrane. This loss leads to the formation of drooping cheeks along the mandible, resulting in the development of prominent jowls and frequently a double chin. The sagging of cheek fat will subsequently cause the nasolabial folds to become more prominent.
A SMAS facelift combats the effects of aging by tautening the muscle, eliminating adipose tissue, and excising surplus skin. An SMAS facelift is successful in rectifying the following:
Midface ptosis
 Sunken cheeks
The term “nasolabial folds” refers to the creases or lines that extend from the sides of the nose to the corners of the mouth.
Facial sagging and drooping of the lower cheeks, also known as jowls.
 Drooping adipose tissue  Flaccid dermis and adipose tissue beneath the chin and around the jawline
A facelift can eliminate or diminish the visible indications of aging; nevertheless, with the passage of time, these indications will progressively resurface.

Prior to surgery, the following preparations will be made: a thorough evaluation of the patient’s medical history (including allergies, significant medical conditions, and all drugs, both prescribed and non-prescribed), a physical examination, and laboratory testing, all of which will be conducted during the consultation.

  • It is advisable to abstain from smoking for approximately 3-4 weeks before undergoing surgery, since nicotine hampers blood flow and significantly impairs the healing process.
  • Refrain from consuming alcohol starting one week prior to the surgery and continue to abstain during the entire healing time.
    Avoiding the use of drugs such as hormones, anticoagulants, anabolic steroids, and supplements for a minimum of 4-6 weeks is recommended to minimize any potential complications.

Prior to surgery, it is important to consider two medical aspects. Additionally, it is advised to refrain from consuming aspirin, anti-inflammatory medications, and herbal supplements, as they have the potential to heighten the risk of bleeding.

Duration of Operation: Typically, the surgery has a duration of 4-6 hours.

During the procedure: Once you have been properly prepared for surgery, you will receive anesthesia, typically in the form of intravenous sedation (IV), as well as a local anesthetic. The location of incisions will be determined by marking your face. A surgical cut is performed at the temple region, located above the hairline. The extension will follow the natural skin folds downwards and then bend behind the ears.
The underlying facial and neck tissue and muscle will be elevated and repositioned to a higher level, while any surplus skin will be eliminated. The skin will be repositioned across the face and the incisions will be sealed with stitches. The majority of the scars will be concealed inside the hair and the natural folds of the skin. One
The duration of the SMAS facelift might vary depending on the complexity of the treatment, typically lasting several hours. Following the treatment, you will be provided with a head dressing and drainage tubes. Anticipate experiencing swelling, bruising, numbness, and discomfort for a duration of many weeks. Upon complete recovery, you should be capable of resuming exercise and daily activities, and returning to work within a span of two to three weeks.

Type of Anesthesia used: The procedure is performed under the administration of general anesthesia.

Duration of hospitalization: 1 night

Duration of stay in Thailand: 7-14 days.

Risks and Complications: Facelift surgery is a frequently performed technique and although complications are infrequent, they can occur. The potential hazards associated with the operation encompass the overall perils of surgical intervention and anesthesia, including adverse responses to drugs, respiratory complications, hemorrhaging, infection, and thrombosis. You might also experience facial muscle impairment due to nerve injury.

The symptoms include pain, numbness, and non-healing wounds. Certain individuals express dissatisfaction with the final result as a result of scars, uneven shapes, or alterations in skin pigmentation. These symptoms encompass noticeable, crimson scars, internal bleeding, infection, loss of hair around the scars, nerve impairment, lack of sensation, uneven facial characteristics, and blood coagulation.

Recovery Period: Following the surgery, patients may have an overnight drain in place, along with bandages on the head and neck. Following their removal, patients are frequently instructed to wear a detachable chin strap for a duration of several weeks. The removal of sutures often occurs within a time frame of 7 to 14 days following surgery.
Typically, it takes a period of 2 to 3 weeks for most patients to reach a point where they feel socially acceptable.