Episode 33: The SMAS — Anatomy, Techniques, and Why the Layer You Choose Determines Everything About the Facelift Result

Same face. Same ageing. Same surgeon. Two completely different results — because one operation moved the tissue up and the other pulled it back.The SMAS as a system from galea to platysma, the five techniques compared, the retaining ligaments that must be released for true midface correction, the vector of pull that separates a natural result from a pulled look, and the facial nerve that gets closer with every centimetre of deep plane dissection. Episode 33 — the SMAS, from Mitz and Peyronie in 1974 to the deep plane that changed facelift surgery forever.