2026-06-04
SMAS Lifting with Reduced Scarring Concerns: How to Simultaneously Improve Elasticity and Volume
After your 30s when skin aging begins, sagging skin and volume loss can become a major source of aesthetic stress. 345 Plastic Surgery's SMAS Volume Lift offers a 4-in-1 solution that combines minimal incision lifting, liposuction, and fat grafting, allowing you to achieve a smooth facial contour and improved elasticity simultaneously.

The Fundamental Concern of Skin Aging: Why SMAS Lifting is the Solution
Skin aging typically begins in our 30s. While the resulting skin sagging is a natural phenomenon, it can make your expression look dark or fatigued. Recently, many people are considering mini lifting or minimal incision lifting to resolve these concerns. In particular, lifting methods that utilize incisions have the advantage of allowing corrections at a deeper layer compared to non-incisional methods, leading to more distinct and noticeable changes.

345 Plastic Surgery's 4-in-1 SMAS Volume Lift System
345 Plastic Surgery's SMAS Volume Lift is not just about pulling the skin; it is a comprehensive surgery that considers the overall three-dimensional volume of the face. The following three processes are carried out organically:
- Minimal Incision Lifting: The skin is pulled in four layers and firmly fixated.
- Facial Liposuction: Unnecessary fat in the double chin or jawline is removed to create a sharp contour.
- Autologous Fat Grafting: Pure fat is grafted into sunken areas such as the eyelids and front chin to restore three-dimensional volume.
Through these combined procedures, you can expect not only improved skin elasticity but also harmonious results that balance the entire face.

The Importance of 4-Layer Tight Fixation Including Retaining Ligaments
The core of a successful lift lies not just in pulling the outer surface of the skin, but in how firmly the deep tissues are secured. The SMAS Volume Lift tightly fixates four layers: the skin, the SMAS layer (fascia), the retaining ligaments, and the temporal fascia.
Here, 'retaining ligaments' act as pillars that support facial tissues to prevent them from sagging. If the skin is pulled without properly dissecting this area, the lifting effect may be minimal or the duration of the results may be shortened. 345 Plastic Surgery's SMAS Lifting ensures the retaining ligaments are thoroughly dissected and repositioned, facilitating a deeper and more profound improvement.

The 'Hidden Incision' Technique to Reduce Scarring and Hair Loss Concerns
The biggest reason people hesitate to undergo incisional lifting is the concern about scarring. To address this, 345 Plastic Surgery utilizes a 'hidden incision' method. By minimizing the incision range and making precise cuts inside the hairline or along the natural wrinkle lines in front of the ear, we ensure that scars are inconspicuous after surgery while also lowering the risk of side effects such as hair loss.


[Before and After Case: 1 Month Post-SMAS Volume Lift Surgery]
A Systematic Care System Prioritizing Patient Safety
Safety and aftercare are just as important as the surgical results. 345 Plastic Surgery has established an environment where patients can receive treatment with peace of mind.
- Doctor Call System: The operating surgeon personally calls within 24 hours after surgery to check on the patient's condition.
- Resident Anesthesiologists: Three board-certified anesthesiologists are on-site to monitor the entire surgical process.
- Advanced Equipment: We are fully prepared for emergencies with defibrillators and positive/negative pressure ventilation systems.
- Experienced Medical Staff: Dr. Han Kyu-nam, the head surgeon with over 19 years of experience and more than 3,000 clinical lifting cases, personally performs the surgery.

It is important to find the most suitable customized solution based on each individual's age, skin type, and degree of sagging. If you are struggling with sagging cheeks and wrinkles around the mouth, we encourage you to set up a personalized lifting plan through a 1:1 consultation with our experienced specialists.

Frequently Asked Questions
What are the effects of SMAS lifting?
Yes, it has the effect of improving skin elasticity and enhancing the overall three-dimensionality of the face. Instead of just pulling the surface of the skin, it tightly fixes four layers: the skin, fascia layer, retaining ligaments, and temporal fascia, allowing for deeper wrinkle improvement and prevention of sagging.
Does SMAS lifting surgery leave a lot of scars?
No, it is possible to control the scars so they are not noticeable. We use a hidden incision method, meticulously incising along the hairline or the wrinkle line in front of the ear, to minimize the incision area and reduce concerns about scars and hair loss.
Can other surgeries be performed concurrently with lifting?
Yes, facial liposuction and autologous fat grafting can be performed concurrently. Unnecessary fat in the double chin or jawline is removed through liposuction, and pure fat is grafted into sunken areas such as the eyelids or chin, creating overall facial balance and harmonious results.
How is safety managed after surgery?
Yes, a systematic safety and post-operative management system is in place. Three anesthesiologists are on-site to monitor the entire surgical process, and a 'Doctor Call' system is operated where the surgeon directly checks the patient's condition by phone within 24 hours after surgery.