SMAS Facelift with Neck Lift

The SMAS facelift with neck lift at RVmedCentrum is the clinic's most comprehensive facial rejuvenation procedure, repositioning the deep SMAS layer (subcutaneous musculoaponeurotic system) alongside the platysma muscle in the neck. Suited to patients 45+ with significant facial and neck laxity, this procedure delivers the most durable surgical result — typically 10 to 15 years — and is performed under local or general anaesthesia based on patient preference.

The SMAS facelift addresses the full lower face and neck in a single procedure, making it appropriate for patients with substantial facial descent, deep nasolabial folds, jowl formation, and neck laxity including platysmal banding. Unlike the mini facelift, which primarily repositions soft tissue, the SMAS technique works in the deep tissue layer — moving the SMAS structure and the platysma muscle upward and backward for a natural, rested result that lasts significantly longer. Incisions are carefully planned within the temporal hairline, continuing around the front of the ear in its natural crease and behind the ear into the hairline at the nape. The surgeon repositions deep facial structures without placing tension on the surface skin — avoiding the stretched or pulled appearance associated with older facelift techniques. The patient may choose local anaesthesia (with or without sedation) or general anaesthesia based on personal comfort. The procedure is outpatient — patients return home the same day. An elastic bandage is worn continuously for 2 to 3 weeks, then at night only for an additional week. Check-ups begin at days 2 to 3, with sutures removed at day 14. Bruising and swelling generally resolve within 2 to 3 weeks, after which the patient is comfortable resuming social activities. Results are typically described as lasting 10 to 15 years. All post-operative check-ups are free of charge. The procedure may be combined with blepharoplasty (eyelid surgery) for comprehensive facial rejuvenation.