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The High-SMAS facelift is an advancement of traditional SMAS techniques.
\nUnlike many traditional facelift procedures, which focus primarily on the jawline, lower face and neck, the High-SMAS technique extends the dissection significantly further cranially \u2013 that is, towards the midface.
\nThis makes it possible to:<\/p>\n
often have a significantly more harmonious effect.
\nFor Dr Richter, the High-SMAS is therefore less of an isolated facelift and more of an integrated approach combining traditional facial surgery with a mid-face lift.<\/p>\n
The midface plays a key role in how youthfulness is perceived.<\/p>\n
As we get older, the following changes occur:<\/p>\n
This results in:<\/p>\n
Whilst many traditional facelifts improve the appearance of the neck and jawline, they have only a limited effect on the midface.<\/p>\n
It is precisely in this respect that Dr Richter sees a particular strength of the High-SMAS approach.<\/p>\n
This is because the midface is not treated in isolation, but is understood to be a natural part of the overall facelift approach.<\/p>\n
In a high-SMAS facelift, the SMAS dissection is extended significantly further upwards.
\nThis often results in:<\/p>\n
It is the vertical component in particular that plays a decisive role here.
\nWhilst many older techniques tended to create horizontal tension, the High-SMAS approach is more closely aligned with the natural anatomical vectors of the midface.
\nAs a result, the results often appear more natural, softer and less taut.
\nFor Dr Richter, the true quality of the procedure lies in the fact that the lower and mid-face can be harmonised simultaneously \u2013 without these regions appearing artificially separated from one another.<\/p>\n
Dr Richter makes particular use of the High-SMAS technique when:<\/p>\n
It is precisely in these situations that the midface can, so to speak, be \u2018affected\u2019.
\nThis means:
\nThe midface lift is harmoniously integrated into the facelift, without necessarily requiring a separate, isolated midface lift.
\nThis often results in:<\/p>\n
It is precisely this integration that Dr Richter regards as one of the most elegant aspects of modern High-SMAS techniques.<\/p>\n
In Dr Richter\u2019s view, the High-SMAS facelift offers particular advantages in the following areas:<\/p>\n
It is precisely the more pronounced vertical repositioning of the midface that can produce very natural and harmonious results in this context.
\nHowever, the aim is never simply to lift as much tissue as possible.
\nThe key factor is always:
\nWhich form of ageing is actually predominant.<\/p>\n
On social media, \u2018High SMAS\u2019 and \u2018Deep Plane\u2019 are often used almost interchangeably.<\/p>\n
However, in Dr Richter\u2019s view, the two concepts have different focuses \u2013 even though they are closely related anatomically.<\/p>\n
He considers the Deep Plane facelift to be particularly effective:<\/p>\n
The High-SMAS approach, on the other hand, often offers particular advantages:<\/p>\n
The midface in particular is often affected more significantly with the High-SMAS technique than with many traditional deep-plane techniques.<\/p>\n
For Dr Richter, therefore, it is not important which term is used.<\/p>\n
The key factor is the specific anatomical situation and which procedure offers the most harmonious solution.<\/p>\n
Ligamentous support structures play a key role, particularly in the midface.
\nYou play a key role in:<\/p>\n
However, as with deep-plane techniques, the following also applies here:
\nNot every patient requires the same degree of aggressive ligamentous release.
\nOlder people, in particular, often already have significantly loosened tissues.
\nExperience is therefore crucial in order to:<\/p>\n
For Dr Richter, this is one of the key differences between standardised surgical techniques and truly personalised facial surgery.<\/p>\n
In Dr Richter\u2019s view, a good high-SMAS facelift never focuses solely on the cheeks.
\nThat is why he always analyses:<\/p>\n
It is often the combination of small, complementary measures that creates a natural look:<\/p>\n
It is not maximum change that creates harmony.
\nHarmony arises from the right interplay of all structures.<\/p>\n
A lifted face does not automatically look young.
\nSkin quality remains crucial.
\nThat is why Dr Richter is increasingly combining modern facial surgery with regenerative approaches such as:<\/p>\n
These procedures can:<\/p>\n
It is precisely in this area that Dr Wiedner complements the joint approach by placing particular emphasis on:<\/p>\n
Modern facial surgery is often defined today in terms of specific surgical procedures.
\nDr Richter takes a deliberately nuanced view of this.
\nIt is not necessarily the case that the most modern or aggressive technology automatically produces the best results.
\nThe following remain crucial:<\/p>\n
For him, experience also means knowing:<\/p>\n
Dr Richter does not view modern facial surgery as a race to achieve the most dramatic transformation.
\nHis aim is:<\/p>\n
He particularly values the High-SMAS approach for its ability to treat the midface and lower face as a single, cohesive unit.
\nA successful result should not look as though it has been surgically altered.
\nIt should appear as though the face has regained its serenity, its structure and its natural balance.
\nIt is precisely in this that Dr Richter sees the true art of modern facial surgery.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
Rather, the aim is to restore natural balance to sagging structures and to treat the connection between the midface and lower face as a functional and aesthetic unit. It is precisely here that Dr Richter sees one of the particular strengths of the High-SMAS concept. What does \u2018High-SMAS\u2019 mean? The High-SMAS facelift is an advancement […]<\/p>\n","protected":false},"featured_media":8201,"menu_order":0,"template":"","categories":[56,35],"tags":[],"class_list":["post-8366","service","type-service","status-publish","has-post-thumbnail","hentry","category-face","category-surgery-en"],"acf":[],"yoast_head":"\n