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Mid-face SMAS Lift via Serdev Suture. No Visible Scars

Mid-face SMAS Lift via Serdev Suture. No Visible Scars

What is SMAS?

In 1972 it was 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 it in the temporal area.

Separating the skin from the SMAS leads to elongation of the skin, which has lost its stable support, and should not be performed. Also, in a subsequent SMAS lifting the skin is not affected any more, because it is not well attached. The consequences of separating the skin from the SMAS are a mask-like stretched appearance, changed hairline position behind the ears etc.

Mid-face lift via Serdev Suture®

This is one of the internationally most successful and popular methods of Prof. Dr. Nikolay Serdev. It lifts and stretches the middle and lower parts of the face, as well as the neck. It also stretches the cheeks, nasolabial and marionette folds, highlights the so called "hungry cheeks", restores the youthful jaw line.

Mid-face lift is most popular for beautification in middle aged and elderly patients, but also in some young patients for tightening the sagging of the skin in middle and lower face and neck.

In cases of fat deposits in the face, ultrasound assisted liposculpture may be required. The goal is to remove the fatty deposits on the cheeks, causing the so called "bulldog" appearance, which also leads to tightening the skin on the lower jaw line.

Serdev Suture Lifts are the most modern cosmetic, cosmetic surgery SMAS facelifts. They are performed without skin incisions or excisions, only through skin puncture points. There are no scars. No hospitalization and nursing are needed. The postoperative recovery is short and does not affect patient's ability to go to work.