Facelift (SMAS)

A SMAS facelift rejuvenates the lower face and neck by tightening not only the skin but the deeper SMAS layer — the muscular-fascial sheet that supports the face. By repositioning these deeper tissues, the surgeon lifts sagging cheeks and jowls and smooths the neckline for a natural, longer-lasting result than skin-only techniques. Clinic for Luck performs the procedure under general anaesthesia in one to three hours, with the SMAS lift from 70,000 Kč and a lighter MACS variant from 60,000 Kč. It suits women and men with visible facial ageing who want genuine rejuvenation rather than a pulled appearance.

The SMAS (superficial musculoaponeurotic system) facelift is the technique that gives modern face-lifting its natural, durable results. Earlier skin-only lifts simply pulled the skin tight, which looked unnatural and relapsed quickly because the skin stretches again. By lifting and repositioning the SMAS — the layer of muscle and fascia beneath the skin that genuinely holds the face up — the surgeon restores the underlying support, so the skin is redraped without tension and the result lasts far longer. The operation targets the mid-to-lower face and neck: descended cheeks, deepened nasolabial and marionette lines, jowling along the jaw, and laxity of the neck. Incisions are placed around and behind the ear and into the hairline where they are well concealed. The surgeon lifts and secures the SMAS layer, removes excess skin, and closes without over-tightening, preserving a natural facial expression. The lighter MACS (minimal access cranial suspension) lift, from 60,000 Kč, uses shorter incisions and suspension sutures for patients with earlier or more moderate ageing and a quicker recovery; the full SMAS lift suits more advanced laxity. Both are performed under general anaesthesia and take one to three hours. Recovery is structured: patients rest at home for around 14 days and avoid office work for a similar period, reintroduce light activity at about three weeks, and reach full activity by roughly four weeks; sutures are removed at about one week. Bruising and swelling are expected early and settle over the following weeks. Clinic for Luck includes a post-operative compression garment, sterile dressing, and follow-up with skincare recommendations to support healing. Results reveal themselves as swelling resolves and continue to refine over the first months, typically lasting many years. At consultation the surgeon assesses skin quality, the degree of SMAS laxity and the neck to recommend SMAS versus MACS and to plan incision placement.