The promise is a new appearance that would be comparable to a facelift. In this blog, we will delve into what SMAS actually is, whether the treatment delivers on its promises, and what other treatments are available to tighten the skin.
What is SMAS?
SMAS is the abbreviation for the Superficial Musculo-Aponeurotic System. This is an anatomical structure in the skin and underlying tissue of the face. It is a combination of connective tissue and muscles and is connected to both the superficial skin layers and the deeper structures. This may sound quite vague, so we will briefly explain the connection between SMAS and skin aging.
SMAS and skin aging
As we age, the SMAS loosens. This leads to the development of sagging cheeks, loss of jawline definition, laugh lines, and neck laxity. Because the SMAS is located throughout the entire skin, it is often treated in its entirety. We often see this in the form of facelifts.
The effect of SMAS lifting botox
SMAS lifting botox means that injections are given in the same places where the skin would be pulled back during a facelift. Along the hairline, above the ears, and down the neck. However, it has no direct effect on the SMAS. Botox is injected into the superficial muscles, causing the respective muscles to relax, whereas treatments aimed at the SMAS are intended to tighten the skin. Therefore, it has no effect on skin laxity caused by the SMAS. This layer is too deep to be reached by botox.
Facial treatments for skin tightening
Besides a facelift, there are no treatments that affect the tightening of the SMAS. However, there are other treatments you can undergo to improve overall skin texture, and these treatments also yield beautiful results. The added advantage is that they are much less invasive than a facelift. We list them for you:
- High-Intensity Focused Ultrasound (HIFU), which uses focused ultrasound energy to create heat in the skin. This stimulates collagen production and strengthens the tissue;
- Morpheus8, this treatment with radiofrequency energy heats the deeper skin layers with radiofrequency energy and microneedling. This tightens and lifts the skin;
- Collagen-stimulating injections, such as Sculptra or Radiesse. These ensure that the skin is nourished from within and collagen production is stimulated.
Curious about which treatment is suitable for your skin? Then schedule a non-binding consultation with one of our doctors.





