SMAS Facelift Surgery Effective for Improving Facial Sagging and Wrinkles

Provider: 입체성형외과의원

Facelift surgery is

called the flower of rejuvenation surgery,

and it is a procedure that requires

precise sensitivity and advanced technique.

Aging begins in your 20s

Why doesn’t skin improve even after applying cosmetics and visiting a dermatologist?

As you age, not only the skin’s elastic fibers (collagen and elastin),

but also the SMAS (superficial musculoaponeurotic system) beneath it become lax,

causing the entire face to sag downward and wrinkles to deepen. For this reason, there are limits to dermatologic procedures and cosmetics,

and only by correcting the layer that supports the face’s original structure

is natural, long-lasting lifting possible.

Rather than simply pulling up sagging skin,

this is a facial redesign that restores volume, erases wrinkles,

and brings back the lines of your youth.

A facelift is the most powerful lifting surgery. Because it directly improves facial sagging, the effect is excellent,

and because sagging skin is also improved to look younger, it is a rejuvenation surgery with high satisfaction.

Not only the SMAS layer beneath the skin, but also nasolabial folds, marionette lines, neck wrinkles, and other facial concerns are addressed, along with volume loss,

so you not only look younger, but also more beautiful and elegant.

During surgery, the loosened SMAS layer is separated and firmly pulled upward to restore sagging tissues to their original position,

and the buccal fat, nasolabial folds, and double chin are neatly refined.

As a result, the facial contour becomes more defined, and the volume and lively expression of youth naturally return.

This is not about pulling the skin,

but about correcting the facial structure — that is what a true facelift lift is.

The appropriate facelift method differs depending on the degree of facial sagging and aging, skin thickness, and muscle structure.

Because the skin is not the only thing lifted and the muscles and fat are also repositioned,

more natural and longer-lasting results can be expected.

Customized selection is important according to the face’s anatomical condition (skin thickness, fat distribution, muscle elasticity) and

the degree of change the patient wants.

After a board-certified plastic surgeon with extensive experience makes a direct diagnosis,

the dissection range and pulling direction for the facelift are adjusted and sometimes applied in a combined approach.

Because facelift surgery produces major results,

it is a procedure that requires delicacy.

(1) Incision and dissection

Usually, incisions are made along the natural wrinkle lines in front of and behind the ear, and in the temple area.

Because scars in these areas are hidden by the hairline and the border of the ear, they become barely noticeable over time.

After that, the skin layer and fascial layer are dissected twice to return sagging tissues to their original position.

(2) SMAS layer lifting

The SMAS layer is an important support layer connecting the facial muscles and skin,

and as people age, this layer stretches and the entire face begins to sag.

Therefore, rather than simply pulling the skin, the SMAS layer is firmly pulled inward and fixed

to restore the mid and lower face (nasolabial folds, jawline, neck wrinkles, and more).

This is the most essential step of the surgery.

(3) Skin refinement and suturing

After pulling the SMAS layer, the remaining skin is naturally refined and sutured without excessive tension.

At this stage, care is taken so that there is no artificial change in expression or obvious sign of being pulled,

and the suture line is designed to distribute skin tension and minimize scarring.

01

When there are overall wrinkles on the face,

such as nasolabial folds and wrinkles around the mouth

02

When midface sagging caused by reduced skin elasticity is prominent

03

When the cheeks and jaw have sagged significantly due to aging

04

When the skin from under the chin to the neck has sagged

05

When there was a large amount of bone reduction during facial contouring

06

When you are concerned about looking old

or want to regain youthful beauty for a long time

Endoscopic forehead lift,

for a bright impression without wrinkles

As people age, the forehead muscles sag and skin elasticity declines, causing the eyebrows to droop,

and as a result, forehead wrinkles deepen or the eyebrows and eyes become closer together, creating an angry-looking impression.

1. A small 1 cm incision inside the hairline 2) Muscle resection and dissection using an endoscope

2. Pull and fix the forehead tissue upward

Through this process, the sagging tissue is lifted from the deep inner layers of the forehead, the eyebrow position is raised,

and the muscles that create wrinkles are adjusted to correct the face into a brighter and more youthful impression.

Precise and safe endoscopic forehead lift surgery

✔ Minimal scarring

Because the incision is small, there is less concern about scars.

✔ Fast recovery

By minimizing tissue damage, recovery is quick and returning to daily life is easier.

✔ Complex rejuvenation effect

It improves forehead wrinkles and eyelid sagging at the same time.

Endoscopic forehead lift is performed to improve forehead and eyebrow sagging, deep wrinkles, and a tired eye appearance.

It is a procedure that lifts the forehead muscles and skin layers using an endoscope through small incisions.

Compared with traditional forehead lift surgery, the incision is smaller, recovery is faster, and scarring is almost nonexistent.

As a result, the proportion of the forehead becomes more balanced,

and the entire face can appear smaller and more three-dimensional.

01

When the eyebrows sag and the eyes look heavy or tired

02

When forehead wrinkles or frown lines are deeply set

03

When you always look angry or frowning

04

When the eyes feel heavy even after eye surgery

05

When you have asymmetric eyebrows or forehead lines

06

When the effects of non-surgical lifting (Botox, thread lifting, etc.) are short-lived or limited

4th-generation lower blepharoplasty and midface lift,

correct under-eye fat and wrinkles at the same time.

As people age, the skin under the eyes becomes thinner and fat protrudes, causing puffiness under the eyes or

the formation of wrinkles such as Indian folds and tear troughs.

Traditional lower blepharoplasty only removed under-eye fat,

which had the drawback of leaving the under-eye area flat and awkward over time,

but the newer 4th-generation lower blepharoplasty can preserve the cheek fat pads and

also improve midcheek sagging through a midface lift.

✔ 4th-generation lower blepharoplasty

After an incision made right below the eyelashes, sagging skin and fat are repositioned,

and ✔ Midface lift

The sagging cheek fat and SMAS layer under the eyes are lifted upward to restore midface volume.

The incision for lower blepharoplasty alone can also be used to perform a midface lift at the same time,

improving under-eye fat, hollowness, wrinkles, and sagging simultaneously,

while making the eyes look clearer and changing a tired appearance into a softer, more youthful one.

Lower blepharoplasty and midface lift

Why should they be done together?

Lower blepharoplasty alone is effective for addressing protruding under-eye fat.

However, when the under-eye volume is hollow or the Indian fold is deep,

a midface lift must be performed together to achieve a true rejuvenating effect.

A midface lift pulls the lowered fat layer back to its original position, improving nasolabial folds and under-eye hollowness at the same time,

while the center of the face is lifted upward again, creating a softer and more youthful impression.

Solving these concerns harmoniously with a single surgery is the lifting philosophy of 입체성형외과의원.

While correcting under-eye fat and wrinkles, it also restores midface volume,

changing the face to a lively and bright impression.

01

When under-eye fat is puffy or there is shadowing

02

When the skin under the eyes is thin and has many wrinkles

03

When the under-eye area is hollow or the tear trough is deep

04

When the skin sags due to reduced elasticity under the eyes

05

When the nasolabial folds are deep and the cheek area has sagged downward

06

When improvement is difficult with fillers or lasers alone

Board-certified plastic surgeon Director Heo Jae-won

Facelift, neck lift, midface lift, forehead lift, middle-aged eye surgery,

We create high satisfaction through extensive clinical experience and refined technique in the lifting field.

• Graduated from the Department of Medicine, Yonsei University / Master of Medicine

• Board-certified plastic surgeon at Severance Hospital

Actively participating in numerous societies, including the Korean Society of Plastic and Reconstructive Surgeons and the Korean Society for Aesthetic Plastic Surgery,

we perform safe and precise lifting surgery based on anatomical understanding.

The promise of 입체성형외과의원

✔ We do not compromise on safety and principles.

With patient safety as our top priority, we prepare thoroughly for every surgery.

✔ 1:1 customized consultation and attentive care

By precisely analyzing each person’s facial structure, skin condition, and degree of aging,

we present the most suitable lifting solution.

✔ No excessive treatment!

We do not mislead patients and recommend only the procedures that are truly necessary.

✔ We promise the best results.

With the unique know-how of 입체성형외과의원,

you can expect natural and highly refined results.