woman smiling headshot after facelift

A facelift, or rhytidectomy, improves signs of aging in the face and neck by addressing sagging in the middle of the face and jowls. It also smoothes the jaw line while tightening the loose skin in the neck to reduce the double chin look.

The loss of youthful contours in the face can be due to a variety of factors including heredity, gravity, environmental conditions and stress.

Rejuvenation procedures typically performed in conjunction with a facelift are brow lifts, to correct a sagging or deeply furrowed brow and eyelid surgeries to rejuvenate aging eyes.

Facelift - Dr. Sofer's Approach


There are multiple surgical techniques for facelifts that include SMAS plication, SMAS excision, Deep SMAS technique, Periosteal lift and more. Dr. Sofer believes that there is no one technique that best suits all patients, but the SMAS layer, which is the fascia underneath the skin, typically needs to be addressed in all patients. In younger patients with minimal sagginess, plication may suffice while patients with poor collagen and elasticity may require a more involved procedure such as deep SMAS.

Another issue that is addressed during the consultation is fat transfer typically in the midface within the malar area and the tear trough region. This new trend in plastic surgery is fat restoration rather then fat removal. Dr. Sofer will discuss which of these options is best for you at the consultation.

more INFORMATION about smas facelift

Otherwise known as the superficial musculo-aponeurotic system, the SMAS Facelift is different from most traditional forms of facelift because it lifts the deeper layer of the face. This system is made of several connections that are connected by the subcutaneous fat to the dermal layer of the skin. These associations cause the skin to move in sync. 

The SMAS system is more prevalent around the nasolabial folds. The entire network of associations reaches from the cheekbone below the eye to the bone in front of the ear region. In between the SMAS and the deeper structures of the face, there is a gliding plane that grants us the ability to create facial expressions. However, as time goes on the epidermal layer of skin and the SMAS membrane gradually lessen their degree of elasticity.

The sagging of the cheek skin is mainly caused by gravity. This force is also responsible for creating double chins. The loss of elasticity in the fatty portion of the lax skin along the jawline occurs when the cheek fat droops forward, which therefore emphasizes the existence of the nasolabial fold. This movement continues downward to produce a jowl.

The drooping of the SMAS membrane as well as the gradual loss of elasticity in the dermal layer are both responsible for the appearance of an aging face. You will find that the more traditional facelift surgeries only target the superficial dermal layer, which ends up giving the patient’s face a overly tight appearance.

Dr. Sofer performs the SMAS facelift using great skill and new techniques that add colume to the face to reverse facial aging without a pulled or pinched look

What are the benefits of a SMAS Facelift?

  • Make your face look years younger for a lot longer (up to 10 years or more)
  • Fix jowls, hollow cheeks and even nasolabial folds
  • Target deeper layers of skin for the best, most natural results

Who is a good candidate for smas facelift?

If you are in your 50s or older, mature and have a realistic desire to turn back the clock then you are probably a good candidate for Dr. Sofer’s special SMAS facelift surgery. You must be in otherwise good health, have reasonable and realistic goals and expectations and be able to clearly communicate your concerns to Dr. Sofer during your initial consultation.

Questions our patients ask about smas facelift

What is an SMAS Facelift? It is a surgical procedure that addresses problems with the lower two-thirds of the face including removal of sagging skin, excess fat, tightening of neck muscles, jowls and restoring volume to cheeks, which may have become hollow and deflated. The SMAS surgery deals with the deeper dermal layers to create a foundation for a more natural looking and longer lasting facelift.

Where will my surgery be performed?

Dr. Sofer will perform your SMAS FaceLift surgery in a state-of-the-art, out-patient surgery center.

How long will my SMAS surgery take?

The time varies with each patient since many patients choose to combine other procedures with their facelift surgery, but plan for several hours.

Will I have scars after my SMAS facelift surgery?

Dr. Sofer places the incisions in very inconspicuous places such as the ears and natural creases of the skin. These normally heal as thin thread-like lines and are well-camouflaged.

Is the SMAS facelift surgery painful?

You will experience mild pain and discomfort. Your discomfort will be easily managed with oral pain medication and goes away after a few days.

What can I expect during recovery?

Swelling, bruising, puffiness, numbness and paleness are all normal and should be expected. You must keep your head elevated for the first few days to help manage swelling. These issues clear gradually over several days.

What can I expect right after surgery?

Bandages will be applied to your head and neck and then removed the next day or so.

When will I be able to return to work?

Typically patients are able to return to work in about one to two weeks.

What about exercise and daily activities?

You will need to restrict your activities based on instructions that we will give you. You will not be able to perform any strenuous activities until healing is complete, which will be about 2-3 weeks.

Will I be able to drive myself to and from surgery?

No. You must have a responsible adult drive you to the surgical center, drive you home and stay with you overnight for a couple of days, if possible.

Will insurance pay for my SMAS facelift surgery?

Insurance does not cover elective/cosmetic procedures.

Is financing available to cover SMAS facelift surgery?

Yes. There is financing available for most cosmetic and surgical procedures. Check with our office for information.

Has Dr. Sofer performed many facelift surgeries?

Dr. Sofer is a skilled, board certified surgeon who has had years of surgical training in all surgeries of the head and neck. He has performed hundreds of facelift surgeries and he performed them on a regular basis.

Facial rejuvenation procedures typically performed along with a face lift are...

  • Brow Lift: Renews sagging skin or deep brow wrinkles
  • Eyelid Surgery: Reinvigorates aging eyes

In order to better assess and identify personal needs, we invite patients to consult with Dr. Sofer. Please call us at (203)336-9862 to schedule your consultation.

During consultation, Dr. Sofer will evaluate you and take into account your physical and aesthetic needs, medical history, lifestyle, desired results, expectations and/or limitations as well as recommend the best possible surgical choice to meet each individual patient’s desired results.

We offer the latest technology in 3D imaging - VECTRA from Canfield. This 3D imaging system will help you and Dr. Sofer discuss and develop a surgical plan and that can help give you a idea of potential surgical outcomes.

Schedule a consultation with Dr. Sofer to discuss options.


2.5 - 4 hours depending on the amount of work required


General anesthesia is provided. An accredited surgical facility or hospital will have a board certified anesthesiologist for the anesthesia.


  • 1-2 hours in the recovery room
  • 10-14 days to resume everyday activities
  • 3 days managing surgical discomfort (pain medications and muscle relaxants will be needed)
  • 4-6 weeks to resume exercise


Here is a fee breakdown:

  • 1 hour initial consultation that includes the doctor and nurses
  • 1-2 hour pre-operative appointment that goes over paperwork and information (medication, follow-up appointments, photos)
  • Surgery fee for your plastic surgeon and fees for your surgeon that is 24-hour on-call
  • Operating room fee (equipment, staff and room fee), garments (may or may not be included) and surgery anesthesia
  • 15-30 minute follow-up visits (usually 3-6) along with bandages and equipment used during the visits
  • Post-op photographs 

Ask about CareCredit financing.


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