As we age, the deeper facial soft tissues gradually lose support and begin to descend. This shift contributes to jowls, softening along the jawline, and laxity in the neck. While skincare and non-surgical treatments may improve the skin’s surface, they cannot reposition deeper facial tissues or restore lost facial volume. A SMAS facelift in Vancouver, BC, addresses these structural changes by lifting and supporting the deeper facial layers to restore youthful contours and a more youthful appearance.
At Pacific Plastic Surgery, Dr. Ashley Tregaskiss performs advanced facelift procedures that focus on natural-looking rejuvenation rather than overly tight or artificial results. As part of modern facial plastic surgery, this procedure is designed to restore balance and definition to the lower face and neck while preserving each patient’s unique facial character. By targeting the deeper anatomical layers responsible for facial support, a SMAS facelift can help soften deep wrinkles, improve contour, and create a refreshed appearance through carefully planned cosmetic surgery.
What Is the SMAS Layer?
The SMAS, or Superficial Musculoaponeurotic System, is a layer of tissue located beneath the skin and fat of the face. This structure connects facial muscles to the overlying skin and plays an important role in maintaining the position of the cheeks, jawline, and neck.
Over time, the SMAS layer begins to loosen and descend due to aging, gravity, and changes in skin elasticity. As this support layer shifts downward, it contributes to visible signs of aging such as sagging cheeks, jowls along the jawline, and laxity in the upper neck. In patients experiencing significant facial aging or sagging, these deeper structural changes can also contribute to an imbalance in facial contours or mild facial asymmetry. Because these changes occur at a deeper level of facial anatomy, tightening only the skin cannot effectively correct them. A SMAS facelift focuses on repositioning this structural layer to restore a more youthful facial contour.
What Is SMAS Facelift Surgery?
A SMAS facelift is a surgical technique that lifts and repositions the SMAS layer along with the overlying skin. By addressing the deeper foundation of the face, the procedure provides structural support and more natural results compared with older skin-only facelift methods.
During surgery, carefully placed incisions are typically made around the ears and sometimes within the hairline. Through these incisions, Dr. Tregaskiss accesses the SMAS layer and gently repositions it to a higher and more youthful position. Once the deeper tissues are lifted, the skin is smoothly re-draped over the newly contoured facial structure, and any excess skin is removed.
This technique helps improve several common signs of aging, including:
- Jowls along the jawline
- Sagging in the lower cheeks
- Loss of jawline definition
- Early neck laxity
Many patients seeking lower face and neck lift Vancouver procedures find that SMAS-based techniques offer a balance between natural results and long-lasting structural improvement.
Who Is a Good Candidate for a SMAS Facelift Plastic Surgery?
A SMAS facelift is often ideal for individuals experiencing moderate signs of aging in the lower face and neck. Patients who benefit most from this procedure commonly notice:
- Jowls or softening along the jawline
- Mild to moderate neck laxity
- Loss of lower facial definition
- Deepening smile lines
Candidates should be in good overall health, be nonsmokers or willing to stop smoking before surgery, and have realistic expectations regarding their results. During consultation, Dr. Tregaskiss evaluates facial structure, skin quality, and the degree of tissue laxity to determine whether a SMAS facelift is the most appropriate option.
SMAS Facelift Procedure Recovery Process and Results
Recovery following a SMAS facelift typically involves temporary swelling and bruising during the first one to two weeks. Many patients feel comfortable returning to work and normal activities within about two weeks, although strenuous exercise should be avoided until cleared by the surgeon.
As healing progresses, swelling resolves and facial contours gradually become more defined. Most patients see significant improvement within several weeks, while the final refined results continue to develop over the following months. Because the deeper facial structures are repositioned, results tend to look natural and maintain their improvements over time.
Schedule Your Consultation
If you are considering a SMAS facelift in Vancouver, BC, or exploring options for a lower face and neck lift in Vancouver, a personalized consultation is the best place to begin. Contact Pacific Plastic Surgery today through the online contact form to schedule your consultation and learn more about the advanced facial rejuvenation options available to you.
DR. ASHLEY TREGASKISS
COSMETIC, PLASTIC, AND RECONSTRUCTIVE SURGEON | BLOG
Dr. Ashley Tregaskiss is a distinguished board-certified plastic, reconstructive, and aesthetic surgeon known for his precision, artistry, and dedication to surgical excellence. With nearly two decades of experience, he brings a refined approach to patient care, combining technical expertise with a strong commitment to achieving natural, high-quality results.
Dr. Tregaskiss earned his medical degree from the prestigious University College London Medical School, consistently ranked among the world’s leading academic institutions. He completed a highly regarded research fellowship at the Kleinert-Kutz Institute in Louisville, Kentucky—an internationally recognized center for hand and microsurgery. His core plastic surgery training was undertaken in Bristol, England, followed by two years of advanced international fellowship training, specializing in aesthetic, facial, and breast surgery. He is a Fellow of both the Royal College of Surgeons of England (FRCS Plast) and the Royal College of Physicians and Surgeons of Canada (FRCSC), and a member of the Canadian Society of Plastic Surgeons. Dr. Tregaskiss currently practices at Pacific Plastic Surgery in Vancouver, offering individualized care tailored to each patient’s aesthetic goals.

