SMAS Facelift - Comparing Lifts | Youthful Reflections
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Nashville’s Face Experts

Call Today for your Complimentary Consultation

615-761-9793 Book Your
Appointment Today!

SMAS Facelift – Comparing a Level I, II and III Reflection Lift

Dr. Boggess is not a believer in a ‘one-procedure-fits-all’ approach to facial rejuvenation, recognizing that every patient is unique in their anatomy and the effects of aging. And having performed over 3,000 facelift procedures over 17 years, he has developed techniques that optimize results for all of his patients.

He tailors every procedure to the individual anatomy, concerns, and goals of each patient for exceptional, natural-looking results. The Reflection Lift utilizes his unique approach for lifting and securing the SMAS (superficial muscular aponeurotic system), which is a layer of tissue deep to the skin and subcutaneous tissue, and the platysma, which is the muscle that extends from the collarbone to the angle of the jaw.

Performed in an office-based setting using light sedation and local anesthesia, the Reflection Lift eliminates the risks and cost associated with general anesthesia. It is a conservative approach which results in reduced risk of complications and faster recovery compared to traditional facelift surgery.

Most patients show no visibly apparent signs of surgery within 1 – 2 weeks, though patients should allow at least 3 – 4 weeks before any important events.

The three levels of Reflection Lift are as follows:

Level I Reflection LiftSMAS Facelift example

This is a conservative SMAS facelift approach for younger patients.  It is intended to address mild to moderate sagging in the jowls and mild sagging in the neck. The SMAS is a web of fascia that encompasses the muscles and fat in the face. This fascial layer is continuous with the platysma muscle in the neck. All properly performed facelift procedures involve some technique for lifting the SMAS to restore a youthful contour to the jawline and neck.

Level II Reflection Lift

Woman with SMAS Facelift

This procedure involves a SMAS facelift in combination with liposculpting of the jawline and neck.  It is indicated for moderate sagging in the jowls and mild to moderate sagging in the neck with an accumulation of fat along the jawline and neck.

Level III Reflection LiftMan with SMAS Facelift

This procedure is a more aggressive facelift approach for patients that involves a more aggressive mobilization of the SMAS, in combination with tightening of the platysma muscle in the midline of the neck and liposculpting of the face and neck.  It is indicated for moderate to severe sagging in the jowls and neck with associated laxity or banding of the platysma muscle in the front of the neck.

If you’re considering a facelift and want a customized, personalized approach that addresses your unique concerns and goals, contact us at Youthful Reflections today to schedule your complimentary consultation with Dr. Boggess.


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