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Assuming that a surgeon believes (as I do) that lifting and repositioning the SMAS is very important to obtaining an outstanding result, the next question becomes where on the face should the surgeon make the cuts in the SMAS to be able to move the SMAS in the most advantageous manner.


A high or low positioning of the SMAS incision can substantially impact the results of a facelift. If the SMAS incision is positioned below the zygomatic arch, it cannot lift the mid-face or the area underneath the eye socket. This causes improvement only in the lower cheek and jowl. In order to create elevation in the upper and lower cheek, orbital area, and jowl, the SMAS must be lifted higher on the zygomatic arch and pulled medially onto the tissues of the mid-face. When the SMAS is lifted higher, the upper cheeks appear fuller, the lower eyelid and infra-orbital region are rejuvenated, and nasolabial folds are less noticeable. If additional volume is needed in the mid-face or orbital area, fat injections can be administered.

High SMAS vs Low SMAS Facelift

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Practice Policy Update Regarding COVID-19

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Important message to all of our patients

Dr. Leong and his team are happy to announce, we are open and seeing patients for all surgical and non-surgical consults. The summer surgery schedule is rapidly filling up. Please call or contact us today to schedule your consultation.

We are following all state and federal guidelines for your protection and safety, including but not limited to: wearing gloves and masks, providing hand sanitizer, frequent cleaning, wiping down and sanitizing of all contact surfaces. As well as will maintain all standard Social Distancing protocols. Patients should not come in if achy, feverish or coughing or COVID positive test for active infection.

We are still utilizing virtual consultations, including to obtain initial information about treatment plans for new and returning patients. Our goal is to find the best balance between being available to our patients and maximizing their safety.

Please call our office or select the “Video Consultations Tab” to schedule a video discussion.

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