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Ask Dr. Pane! Your Cosmetic Surgery Questions Answered! The Question Facelifts are continually gaining in popularity among all genders and age demographics as people seek to reduce, stall or even reverse the effects of aging in the face and neck region, where age can show up more. However, facelift surgery has its share of myths, legends and erroneous beliefs attached to it, including the idea that it “wears off” over time. The topic of this week’s Ask Dr. Pane segment illustrates one of these myths. The viewer asks, “How many years does a MACS facelift last versus a SMAS facelift?” The Answer The first order of business, says Dr. Pane, is to dispel this idea that facelifts wear off. While a patient who has undergone a facelift will almost inevitably appear more youthful, this doesn’t mean the clock stops, gravity ceases pulling downward on the skin or that environmental and habitual factors don’t continue to exact a toll on the patient. When a facelift is done properly, there is nearly always some surgical intervention in the superficial musculo-aponeurotic system, from which the SMAS facelift takes its name. This type of facelift is intended to rejuvenate and firm the skin of the face as well as the underlying structures. Dr. Pane notes as long as something is being done to the SMAS layer, the patient will get the benefit of a facelift to some degree. Some surgeons get fancier with how they do it, going deeper beneath the muscles and skin or using other, more invasive methods which Dr. Pane says he does not advocate for as a matter of preference, but regardless, intervention in the SMAS layer is uniformly the key reason why most patients with facelifts end up looking better. http://acplasticsurg.com