The Art of Natural Rejuvenation in Sarasota

In a city known for beauty and culture, Sarasota patients often seek refined results that respect their individuality. A SMAS facelift at Holcomb–Kreithen Plastic Surgery & Medspa offers a powerful way to reverse visible aging while preserving your natural expressions.

Unlike superficial “skin lifts,” the SMAS approach works beneath the surface to reposition deeper tissues. The result? A smoother, more defined jawline and neck, lifted cheeks, and softened folds—without the telltale signs of surgery.

What Is a SMAS Facelift?

The SMAS (Superficial Musculoaponeurotic System) is a fibrous network that supports facial structure. With age, it begins to sag—leading to jowling, deep creases, and loss of definition. The SMAS facelift technique:

  • Lifts and tightens this foundational layer
  • Smooths and sculpts the jawline and lower face
  • Offers more durable, natural results than skin-only facelifts

This technique is especially well-suited to patients with moderate to significant aging who want to avoid a drastic or overly pulled appearance.

What to Expect Before, During, and After Surgery

Your journey begins with a detailed consultation at our Sarasota office. Using 3D imaging, we’ll assess your facial structure and design a plan that aligns with your aesthetic goals.

The procedure is typically performed under IV sedation or general anesthesia and takes 2.5 to 4 hours. You’ll go home the same day to begin recovery in the comfort of your own space. Recovery typically includes:

  • A splint or dressing for the first few days
  • Most bruising and swelling resolves in 10–14 days
  • Patients often return to non-strenuous work or social events within 2 weeks
  • Final results refine over the next 3–6 months
Banner media

Schedule a Consultation

Contact Us
Contact us media

Why Sarasota Patients Trust Holcomb–Kreithen

  • Dr. Holcomb is a double board-certified facial plastic surgeon with over two decades of facelift expertise
  • Dr. Salzman brings national acclaim and innovation in facial rejuvenation techniques
  • Our Sarasota surgical center offers privacy, safety, and AAAHC accreditation
  • We take a custom-tailored approach that blends science with artistic detail
Background media

Schedule a Consultation in Sarasota

If you're ready to restore your youthful features while maintaining a natural look, a SMAS facelift at Holcomb–Kreithen in Sarasota could be the solution.

waiting room

SMAS FaceliftFrequently Asked Questions

How is a SMAS facelift different from a traditional facelift?

A traditional facelift often tightens only the skin, which can lead to short-lived or unnatural results. A SMAS facelift repositions the deeper support layer of the face—the SMAS—providing more durable, natural-looking rejuvenation that lifts the cheeks, jawline, and neck simultaneously.

Will I look overdone or pulled?

No. When performed by experienced surgeons like Dr. Holcomb and Dr. Salzman, the SMAS facelift delivers subtle, elegant results. The goal is to restore youthful contours—not change your appearance or erase your unique features.

What is the best age to consider a SMAS facelift?

Most SMAS facelift patients are in their 40s to 60s, although age alone isn’t the main factor. If you’re noticing jowls, sagging skin, or deep folds that aren’t responding to non-surgical treatments, a facelift may be appropriate.

How long do the results last?

Many Sarasota patients enjoy results that last 10 years or longer, especially with good skincare and a healthy lifestyle. While the aging process continues, you’ll always look younger than if you hadn’t had the procedure.

Is the recovery process painful?

Most patients report mild to moderate discomfort, easily managed with prescription pain medication during the first few days. Bruising and swelling peak early and steadily subside over 10–14 days.

Can I combine the SMAS facelift with other procedures?

Yes. Many patients combine their SMAS facelift with eyelid surgery, brow lift, facial fat transfer, or skin resurfacing for a more comprehensive result. We’ll recommend the ideal approach during your consultation.

When can I go back to work or social activities?

Most people feel ready to return to non-strenuous activities in 10–14 days. Subtle swelling may persist for a few weeks but is typically concealable with makeup.

Will there be visible scars?

Incisions are placed in discreet locations—around the ears and into the hairline—and heal into faint, barely noticeable lines. With time and proper care, they become increasingly hard to detect.

Quote media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (941) 348-1243.
Contact Us