Who is a good candidate for the SMAS facelift?

Ideal candidates are individuals with moderate to significant facial sagging, particularly in the midface, jowls, and neck, who desire a durable correction. Good health, stable weight, and realistic expectations are essential. Contraindications include active smoking (due to impaired healing), uncontrolled medical conditions such as diabetes or hypertension, bleeding disorders, or a history of poor scar formation. Patients with mild aging may benefit from less invasive options, while those with severe skin laxity might require additional procedures.