The SMAS and Its Role in Facial Rejuvenation

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New York facial cosmetic surgeon Amiya Prasad, M.D. reviews what the SMAS is; and the importance of addressing the SMAS in achieving the best and longest lasting results for surgical, and non-surgical facial rejuvenation:

0:00 - Intro music

0:21- Introduction to the SMAS

1:04 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience in performing facelift procedures

1:52 - Why patients often ask if the “muscle is tightened” when performing facelift surgery

1:59 - What the SMAS (superficial musculo aponeurotic system) is

2:20 - How the SMAS can be considered as an extension of the platysma muscle of the neck

2:52 - How threadlifts, and thermal treatments do not have the skin supported by elevation of the SMAS

3:04 - How non-surgical treatments can have immediate aesthetic improvements, but without tightening and underlying support of the SMAS, skin can sag

3:28 - How SMAS-based facelifts can last 5-10 years

3:42 - The factors that can affect facelift results, and longevity of results

3:57 - What Structural Volumizing is

4:35 - How skin, and soft tissue layers cannot maintain the intended shape of the filler

5:16 - Why filler migration occurs

5:23 - Effectiveness of filler placement at the bone level, as opposed to placing filler just below the skin

5:55 - Conclusion

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