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Facelift with SMAS (Lifting obličeje s SMAS)

Type

Facelift

Duration

4 hours

What's included

5 deliverables in this treatment

  • SMAS dissection and repositioning
  • Surgeon's fee (specialist microsurgeon)
  • Surgical facility use
  • Compression bandage and post-operative care
  • Follow-up consultations

SMAS facelift addresses the deep structural layer of the face — the superficial musculoaponeurotic system — rather than just pulling skin, which gives longer-lasting and more natural results than skin-only techniques. At Plastická chirurgie A-Z Olomouc, the procedure is performed under general anaesthesia by two specialist microsurgeons who use surgical loupes throughout for precise dissection in the facial danger zones near motor nerves. Typically combined with brow lift or neck lift for comprehensive facial rejuvenation, this procedure is suited to patients in their 50s and older seeking a meaningful, durable correction of facial sagging.

About this treatment

A SMAS facelift targets the architecture beneath the skin. The SMAS — a fibromuscular sheet that underlies the cheeks, jowls, and neck — descends gradually with age, dragging the overlying skin with it and creating nasolabial deepening, jowling, and a loose neck. A SMAS technique repositions this deeper layer, allowing the overlying skin to be re-draped with less tension, which produces a result that looks natural rather than 'pulled' and lasts…

The surgeons at Plastická chirurgie A-Z use surgical loupes throughout the procedure — particularly valuable in the facial dissection plane, where motor nerve branches supplying the facial muscles run. This precision approach reduces the risk of inadvertent nerve injury that can produce temporary or permanent weakness of facial expression.

The operation is performed under general anaesthesia or deep sedation and takes 3–4 hours depending on whether concurrent procedures (neck lift, brow lift, periorbital work) are incorporated. Incisions follow the pre-auricular hairline, wrap around and behind the ear, and continue into the posterior hairline — placed to remain hidden within hair and natural skin folds.

Good to know

Technique
SMAS layer (deep structural lift)
Price range
80,000–85,000 Kč
Longevity
7–12 years before significant re-descent
Safety
Surgical loupes reduce motor nerve risk

Who is this for?

Patients 50+ with significant jowling, nasolabial deepening, and midface descent seeking long-lasting structural facial rejuvenation

Preparation required

Consultation required (500 Kč). Full blood panel and cardiac clearance. Stop blood thinners two weeks before. No smoking for four weeks minimum. Plan three weeks recovery at home. Arrange post-operative transport and care for 24 hours.

About the clinic

Reviews, team and credentials

Independent review links and clinic-reported team information.

4.9

8 clinic reviews

From independent platforms

Plastická chirurgie A-Z clinical team

Clinical team

The clinic is led by two board-certified specialists: MUDr. Bohumil Zálešák, Ph.D., holds specialist certification in microsurgery and plastic surgery, and MUDr. Daniel Stehlík is a specialist in plastic surgery and microsurgery. Both are verified members of the Czech Society of Plastic Surgery (Česká společnost plastické chirurgie). The team is supported by Mgr. Markéta Hrachovcová, coordinator and assistant. Both…

Clinic-reported credentials

Czech Society of Plastic Surgery (Česká společnost plastické chirurgie) — both surgeons VZP contracted provider for reconstructive plastic surgery

Languages: Czech

What clients say

"{"author":"firmy.cz patient","text":"Very professional and attentive approach. The surgeon explained every step clearly and the result exceeded my expectations.","rating":5,"source":"firmy.cz"}"

"{"author":"firmy.cz patient","text":"Excellent care throughout the entire process — from the initial consultation to the follow-up appointments. Highly recommended.","rating":5,"source":"firmy.cz"}"

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