<\/span><\/h3>\nIn a\u00a0High-SMAS<\/strong>\u00a0or\u00a0Extended SMAS<\/strong>\u00a0technique, the incision usually starts in the temple hair, continues down in front of the ear (pre-auricular), and wraps around the earlobe to the posterior scalp. This ensures that\u00a0scars are hidden<\/strong>\u00a0within natural folds.<\/p>\nThe technical core of the surgery involves:<\/p>\n
\n- Skin Undermining:<\/strong>A layer of skin is gently separated from the underlying tissue.<\/li>\n
- SMAS Dissection:<\/strong>The surgeon carefully incises the SMAS layer. This is the most critical step, requiring an intimate knowledge of the\u00a0retaining ligaments<\/strong>\u00a0(such as the zygomatic and masseteric ligaments) that must be released to allow for a true vertical lift.<\/li>\n
- Repositioning and Fixation:<\/strong>The SMAS flap is lifted and secured to the stable\u00a0parotid-masseteric fascia<\/strong>\u00a0using high-tensile, biocompatible sutures. This provides the structural internal support for the face.<\/li>\n
- Redraping:<\/strong>The skin is laid back over the new foundation. Importantly, it is never pulled tight; any excess is meticulously trimmed, and the edges are closed with micro-sutures<\/strong>\u00a0to prevent scar widening.<\/li>\n<\/ol>\n
![\"SMAS](\"https:\/\/www.dokuclinic.com\/wp-content\/uploads\/2026\/05\/smas-facelift-long-lasting-facial-rejuvenation-at-doku-clinic.webp\" "\\"\\"")
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