Face Lift

SMAS Facelift differs from the traditional Facelift in that it lifts the deeper layer of the face.  SMAS or superficial musculo-aponeurotic system is composed of multiple fibrous extensions that attach through the subcutaneous fat to the superficial epidermal-dermal layer of the skin, and these connections cause the three layers of the facial skin to “move together” as a unit.

websitefacelifea1-219x300 The SMAS attachment is particularly noticeable at the nasolabial folds. The SMAS membrane continues as a layer of smooth fibrous tissue that reaches to the cheekbone below the eye and attaches to the bone as it extends in front of the ear area. A gliding plane, between the SMAS and the underlying structures of the face, allows free movement of the skin unit to create facial expressions. These movements are produced by the superficial muscles of expression.  As facial skin ages, there is gradual loss of elasticity in the epidermal layer of the skin as well as in the SMAS membrane.
Gravity produces sagging of the cheek skin unit along the jaw bone – creating those fleshy jowls and often a double chin.  This drooping of the fatty portion of the lax skin unit along the jaw area occurs while cheek fat sags forward to increase the prominence of the nasolabial fold. This then descends downward below the mouth to the chin – to become a jowl.
The sagging of the SMAS membrane contributes as much to the aging face as does loss of elasticity in the superficial dermal layer.  The classic or traditional facelift surgery addresses only the superficial dermal skin unit – and usually results in a “too tight” or pinched look.

Dr. Sofer performs the SMAS facelift using great skill and new techniques that add volume to the face to reverse facial aging, without a pulled or pinched look.


  • SMAS Facelift can take many years off your face – with long lasting results
  • SMAS Facelift corrects jowls, hollow cheeks, nasolabial folds – effectively
  • SMAS Facelift has proven to keep you looking younger for 10 years or more
  • SMAS Facelift deals with the deeper layers of skin structure for better results
  • SMAS Facelift results in a more youthful – more natural looking appearance
  • SMAS Facelift requires superior surgical skill – which Dr. Sofer has


    If you are in your 50’s or more mature and have a realistic desire to turn back the clock – you are probably a good candidate for Dr. Sofer’s special SMAS Facelift surgery.  You must be in otherwise good health, have reasonable and realistic goals and expectations and be able to clearly communicate your concerns to Dr. Sofer during your initial personal consultation.


    SMAS Facelift – What is it? This is a surgical procedure addresses the problems of the lower two-thirds of the face including removal -sagging skin and -excess fat,- tightening of neck muscles,- jowls and – -restoring volume to cheeks that have become hollow and deflated. The SMAS surgery deals with the deeper dermal layers to create a foundation for a more natural looking and longer lasting facelift.

    Where will my surgery be performed?

    Dr. Sofer will perform your SMAS FaceLift surgery in a state-of-the-art, out-patient surgery center.

    How long will my SMAS surgery take?

    This varies with each patient since many patients choose to combine other procedures with their FaceLift surgery – but plan on several hours.

    Will I have scars after my SMAS FaceLift surgery?

    Dr. Sofer places the incisions in very inconspicuous places such as in the ears and in natural creases of the skin.  These normally heal as thin thread-like lines and are well camouflaged.

    Is SMAS FaceLift surgery painful?

    You will experience mild pain and discomfort.  Your discomfort will be easily managed with oral pain medication and goes away over a few days.

    What can I expect during recovery?

    Swelling, bruising, puffiness, numbness and paleness are all normal and to be expected.    You must keep your head elevated for the first few days to help manage swelling. These issues clear gradually over several days.

    What can I expect right after surgery?

    Bandages will be applied to your head and neck-and then removed the next day or so.

    When will I be able to return to work?

    Typically patients are presentable and able to return to work in about one to two weeks.

    What about exercise and daily activities?

    You will need to restrict your activities per instructions we will give you.  You will not be able to perform any strenuous activities until healing is complete-2-3 weeks.

    Will I Be Able to drive myself to and from surgery?

    NO. You must have a responsible adult drive you to the surgical center, drive you home and stay with you overnight and for a couple of days if possible.

    Will Insurance pay for my SMAS FaceLift Surgery?

    Insurance does not cover elective/cosmetic procedures.

    Is financing available today to cover SMAS FaceLift Surgery?

    Yes.  There is financing available today for most cosmetic and surgical procedures.  Check with our office for information on this.

    Has Dr. Sofer performed many FaceLift Surgeries?

    Dr. Sofer is a skilled, board certified surgeon who has had years of surgical training in all surgeries of the head and neck.  He has performed hundreds of FaceLift surgeries – and he performs them on a regular basis.

    Facial Rejuvenation procedures typically performed in conjunction with a Face Lift are:

  • Brow Lift: Corrects sagging or deeply furrowed brow.
  • Eye Lid Surgery: Rejuvenates aging eyes.
  • Picture20324a
    In order to better assess and identify personal needs we invite patients to consult with Dr. Sofer at the Plastic Surgery Center of Fairfield. Please call us at (203)336-9862 to schedule your consultation.

    During consultation, Dr. Sofer will evaluate you, taking into account, physical and aesthetic needs, medical history, lifestyle, desired results, expectations and/or limitations and recommend and advise the best possible surgical choice to meet each individual patient’s desired results.

    We offer the latest technology in 3D imaging called VECTRA from Canfield. This 3D imaging system will help you and Dr. Sofer discuss and develop a surgical plan and that can help give you a idea of potential surgical out comes.

    To discuss your options, schedule a consultation with Dr. Alfred Sofer.