Jan 30, 2024 · SMAS Flap. This image shows an inferiorly-based SMAS flap elevated anteriorly to the auricle. The SMAS' superior extent is at the zygomatic arch, and its inferior extent is at the mandibular angle.

The use of the SMAS flap is able to reduce the cosmetic and functional complications that occur after the removal of a benign tumour of the parotid through the superficial parotidectomy technique, above all, it reduces the occurrence of Frey's syndrome.

Mar 1, 2023 · SMAS flap facelift techniques are generally performed as outpatient procedures and are easily taught to trainees. This activity reviews the SMAS plication facelift procedure, its indications, and contraindications and highlights the interprofessional team's role in patient selection and management.

In retrospect, the surgically created compound layered flap composed of a variable thickness of subcutaneous fat, mimetic muscles (eg, platysma, orbicularis oculi), and a thin layer of deep fascia is what is known as the “SMAS.”

May 28, 2020 · The extended SMAS technique involves raising both a skin flap and an SMAS flap. These two flaps can then be repositioned in two different vectors. The SMAS flap, along with the superficial facial fat, can then be redirected vertically, repositioning into areas of deflation within the lateral cheek.

May 14, 2019 · The SMAS is thinnest over the masseter muscle and the malar region; great care must be taken during dissection in this region so that the flap can be thick enough for facial contouring. The SMAS often varies in thickness among patients depending on their build and amount of deflational facial aging.

Superficial musculoaponeurotic system (SMAS) flap is the most widely performed technique for the prevention of both FS and poor cosmetic outcomes. The aim of this study was to investigate the effect of SMAS flap on FS development and cosmetic satisfaction in patients who underwent superficial parotidectomy.

Superficial muscular aponeurotic system (or superficial musculoaponeurotic system [1]) (SMAS) is a thin yet tough [2]: 438 unitary tissue plane of the face [3] formed by facial fasciae, subcutis connective tissue, and facial muscles.

The SMAS flap technique closely resembles the “inverted L” SMAS excision previously detailed. A vertical and horizontal incision is made over the parotid region. The flap is then undermined enough to mobilize the flap and then pulled in a superolateral direction.

May 6, 2020 · Ultimately, the ideal outcome is a natural-appearing result that maximizes soft tissue movement with lasting effect. The extended SMAS flap rhytidectomy requires a more extensive sub-SMAS dissection but ultimately improves longevity of the lift compared with a traditional imbrication or plication.