Mid-face SMAS Lift via Serdev Suture. No Visible Scars
SMAS Mid-face lift via Serdev Suture
The mid-face suture lift 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. Also, it stretches the cheeks, nasolabial and marionette folds, highlights the so called “hungry cheeks” and restores the youthful jaw line.
Mid-face lift is most popular when we need to beautify middle aged and elderly patients. However, we also often perform this procedure in 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 surgery SMAS facelifts. Dr. Serdev needs only a few skin puncture points to lift any area, without skin incisions or excisions. Therefore, there are no scars. Hospitalization and nursing are not neecessary. The postoperative recovery is short and does not affect patient’s ability to go to work.
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. Naturally, we strongly oppose such this approach. Also, in a subsequent SMAS lifting, the skin will not be lifted, 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.