Transtemporal Endoscopic Subcutaneous Face-And-Neck Lift With SMAS Plication
March 2026
in “
Cosmetics
”
Studysummary This observational study found that endoscopic subcutaneous midface elevation with vertical SMAS plication safely and effectively rejuvenates the mid and lower face in patients under 45 with early facial soft-tissue ptosis, reporting no facial nerve injuries and minor complications like localized cicatricial alopecia and hematomas.
Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
The study on the transtemporal endoscopic subcutaneous face-and-neck lift with SMAS plication involved 201 female patients aged 30-45 over an 18-year period. The procedure, which aims to address early facial aging with minimal invasiveness, showed high patient satisfaction and low complication rates, as measured by the FACE-Q instrument and Likert scale. It effectively improved facial contours and reduced jowls without visible preauricular scars. Complications were minimal, with minor alopecia and skin pleating observed in a small percentage of cases. The study suggests this method as a promising alternative for early-to-moderate facial ptosis, though not suitable for advanced facial laxity.