Full SMAS: Endoscopy-Assisted Full Facial Rejuvenation

Area of Science:

• Plastic Surgery
• Facial Anatomy
• Reconstructive Surgery

Background:

• Aging affects all facial regions, necessitating a holistic approach to rejuvenation.
• Inadequate anatomical knowledge in isolated treatments can lead to suboptimal outcomes.
• The Full SMAS technique addresses the anatomical continuity of the superficial musculoaponeurotic system (SMAS)-platysma for deep-plane facial suspension.

Purpose of the Study:

• To evaluate the integration of endoscopic techniques into traditional facelift and neck lift procedures.
• To assess the efficacy of a comprehensive approach from the forehead to the neck.

Main Methods:

• Utilized endoscopy for repositioning the frontal region and midface across three sub-SMAS layers.
• Performed frontal and zygomatic-masseter ligament release.
• Included open treatment of the lower subplatysmal section and release of retaining ligaments for jowl approach.

Main Results:

• 161 patients underwent the Full SMAS technique.
• Achieved long-lasting aesthetic results.
• Reported low complication rates and high patient satisfaction.

Conclusions:

• The Full SMAS technique offers complete facial rejuvenation by integrating endoscopic and open surgical approaches.
• Minimally invasive endoscopic treatment of the temporal and midface regions reduces nerve injury risk and scar visibility.
• This systematic approach yields natural, enduring results for facial and neck rejuvenation.