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The U-SMAS Lift.

Kiya Movassaghi¹, Janna Check¹, Alexander Gougoutas²

¹From Movassaghi Plastic Surgery & Ziba Medical Spa.

Plastic and Reconstructive Surgery

|August 2, 2024

Summary

The novel U-SMAS lift technique enhances facial rejuvenation by combining low and high superficial musculoaponeurotic system (SMAS) approaches. This safe, hybrid method improves midface contours with a low complication rate.

Area of Science:

Plastic Surgery
Aesthetic Surgery
Facial Rejuvenation Techniques

Background:

Superficial musculoaponeurotic system (SMAS) manipulation is key in rhytidectomy.
Traditional "low" SMAS techniques are quick but offer limited upper midface improvement.
Traditional "high" SMAS techniques excel in midface contouring but pose higher risks.

Purpose of the Study:

To introduce the U-SMAS lift, a novel hybrid technique for facial rejuvenation.
To combine the benefits of low and high SMAS techniques while minimizing surgical risks.
To evaluate the safety and efficacy of the U-SMAS lift for orbitomalar rejuvenation.

Main Methods:

The U-SMAS lift is an imbricating approach to the SMAS.
It incorporates a malar flap of mobile SMAS, building on established low SMAS techniques.

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A cohort of 61 U-SMAS lifts were performed and analyzed.

Main Results:

A minor complication rate of 16.4% was observed in 61 procedures.
No major complications were reported.
The mean follow-up duration was 371 days.

Conclusions:

The U-SMAS lift is a safe and effective facial rejuvenation technique.
This hybrid approach offers advantages of both traditional methods with reduced risk.
Suitable for both novice and experienced aesthetic surgeons.