Facelift with SMAS (Lifting obličeje s SMAS)

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.

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 substantially longer than skin-only techniques (typically 7–12 years before significant further descent). 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. Recovery involves noticeable swelling and bruising for the first two weeks; a light compression bandage is worn for the first few days. Most patients are comfortable attending social events at three weeks and fully presentable at four to six weeks. Final results, as residual swelling fully resolves, are visible at three to six months. This procedure is frequently combined with brow lift (lifting čela/obočí) and neck lift (lifting krku) for total facial rejuvenation — the clinic can quote a combination package at consultation. It can also be scheduled alongside upper and lower eyelid surgery.