SMAS Strip Autograft

The thinning of the overlying nasal skin and nasal SMAS layer and the variations in nasal bones consistency increase the risk of showing dorsal contour irregularities after osteotomies of this site.The authors present their experience with combined nasal dorsal osteotomies and insertion of a SMAS strip graft, harvested during facelift procedure in 6 aging patients.Postoperative follow-up time ranged from 1 year to 7 years and showed excellent outcomes: no infection, graft migration, or reabsorption was detected.Due to the ease of execution of the procedure and taking into account this graft as an ideal soft-tissue augmentation composed by fat, muscle, and fascia, the SMAS strip autograft represents another viable option for nasal dorsum contouring in the patient presenting also for rhythidectomy.