Scarless Lower Face and Neck SMAS Lift via Serdev Suture®
When is Lower Face and Neck Lift necessary?
Ptosis and laxity of the "subdermal facial mask" (the SMAS) in lower face and neck reflect the signs of lower face aging. The primary goal of the lower face and neck lift is straightening and repositioning of the subdermal mask (the SMAS/platysma). We thus achieve refreshing the facial appearance as well as obtain rejuvenation and beautification. The effect of the procedure should correspond to the aesthetic angles, proportions and anatomic position typical for youth. We use lower face and neck lift in order to sculpt the jaw line and soften of the nasolabial and marionette folds. It is mostly done in minor and medium jowling, and submental laxity. The procedure ideal in cases of beautification, associated with early or medium facial ptosis.
What is SMAS?
Back in 1972, surgeons demonstrated that after classic face lifting the skin is not stable and elongates in minutes. Since then, lifting of the Superficial Muscle-Aponeurotic System of the face (SMAS, described by Mitz and Peyronie in 1976) became the obligatory method for surgical face lift (including mid-face lift), in order to maintain a long lasting result.
The skin and soft tissue are strongly fixed to the SMAS in the temporal area. Therefore, if we separate it from the SMAS, the skin will elongate, because it has lost its stable support. As a result, in a subsequent SMAS lifting, we will not be able to lift the skin. The consequences of separating the skin from the SMAS are a mask-like stretched appearance, changed hairline position behind the ears etc. Naturally, we strongly oppose this approach.
"What if I have subdermal fat?"
Subdermal and submental fat in the lower face and neck cause square, "bulldog" appearance. Since it is superficial to SMAS, we cannot lift it with the SMAS lift. In such cases, for achieving the best possible lifting results, an ultrasonic liposculpture may be required to remove the fat depots prior to the lower face and neck lift.
Serdev Suture® Lift
The concept of Serdev Suture® lifts in this case is to tighten and elevate the lower face and neck without unnecessary incisions. As explained above, the SMAS holds the skin and soft tissue. Therefore, lifting and fixing it to a more favourable position enables repositioning of soft tissue structures as well.
We can apply this procedure to patients at almost any age, if there is sagging of the skin and wrinkling of the neck. The lack of excisions and scars around the ears and hair makes it applicable to men as well. The results are very satisfactory to patients and are durable in time. Of course, we cannot stop the ageing process, but it will continue from the new, elevated, more youthful position.
The are no scars, only skin puncture points, which heal and disappear in 2-3 days. Patients can immediately return to their sоcial life. There might be a tight, "pulling" sensation in the first week after surgery.