SMAS Mid-face Lifting

Onyoo
SMAS MID-FACE LIFTING

SMAS
Mid-face Lifting

Natural repositioning of facial volume

Fast recovery with natural results
Semi-permanent lifting effects
Minimal incision, no worries about scarring

Minimal Incision

Performed with minimal incision near the sideburns,
making scars barely visible.

Comprehensive Solution Possible

SMAS Mid-face Lifting addresses the entire
facial line from sagging.

Fundamental Treatment Improvement

Addresses not just one skin layer but the root cause of
sagging down to the fascia layer.

Based on Age and Skin Condition

Onyoo Step-by-step Skin Lifting

Onyoo Plastic Surgery provides customized skin lifting procedures tailored to individual skin conditions and age to effectively improve sagging facial features.
Thread Lifting, Butterfly Zone Lifting, SMAS Mid-face Lifting, Mini Facelift, and Full Facelift can all be performed individually, and in some cases, better results may be achieved when combined as needed.

Minimal Surgical Stress, Maximum Lifting Effect

SMAS Mid-face Lifting is an upgraded lifting procedure based on Butterfly Zone I&II Lifting. It minimizes the incision range (only 3-4cm along the sideburn area), shortens surgery time and downtime, allowing for a fast recovery with little to no bruising or swelling – making it easy to return your daily life quickly.

The lifting area can be treated entirely at once or selectively in necessary areas. Rather than simply pulling the skin surface, this surgery targets the root cause of sagging-the SMAS layer-and lifts it together for a stronger and longer-lasting lifting effect.

The results are structural improvement in areas such as sagging cheeks, jawline, nasolabial folds, and fine wrinkles.

Surgery Time
30 minutes
Stitch Removal
About 10 days post-surgery
Anesthesia Type
Sleep Anesthesia
Expected Effects
Lifting of muscle layer, Improvement of sagging and deep nasolabial folds, Jawline contouring, Tightening of loose skin, Reduction of fine and deep wrinkles
Recommended for
Those with sagging due to decreased skin elasticity
Patients with repeated sagging after Jaw or Facial Contouring Surgery
Those who want long-lasting, clearly evident lifting results
Those who want minimal downtime and fast recovery
Patients not satisfied with other lifting procedures
Those concerned with sagging but hesitant about proceeding with full facelift surgery

The root cause of Aging : down to the SMAS Layer

It’s important to lift the SMAS Layer!

Because sagging affects not just the skin surface, but also the fat layer, muscle, and all the way down to the SMAS Layer,
you can only achieve satisfying results by lifting deeply to the SMAS layer.

The SMAS layer refers to the fibromuscular layer located between the subcutaneous fat and the muscle layer.
It contains key structures such as the facial expression muscles, fascia, and ligaments.
Because important facial nerves run very close to it, extensive knowledge and surgical experience are required.

At Onyoo, we provide safe and effective SMAS Mid-face Lifting based on a deep understanding
of the SMAS layer and extensive surgical experience.

Temple Lifting? SMAS Quick Lifting?

Still unsure? Compare the two!

If you want a fast recovery Temple Lifting	VS	If you want a semi-permanent effect SMAS Mid-face Lifting
Incision in the temple area, lift and fix vertically	Surgical Method	Incision along the sideburn area, lift in a curved shape and fix
1.5 years	Duration of effect	Semi-permanent
Those with sagging around the cheekbones / Nasolabial folds from drooping cheeks	Best for	Those with sagging in deeper areas like the lower face or jawline / those who need lifting from the front cheek to the temple
Not visible (hidden in hairline or temple area)	Scar Visibility	Not visible (hidden in sideburn or temple area)
Mid-face only	Area Improved	Mid-face to lower face
20s-30s	Recommended age	All ages

Temple lifting is effective for improving sagging in the mid-face but has limitations in the areas it can treat,
whereas SMAS Quick Lifting lifts SMAS layer directly, improving broader areas including the lower face and jawline.
For those who struggle with sagging and aging in various facial areas, SMAS Quick Lifting can be the ideal solution.

Advanced from Butterfly Zone I, II

SMAS Mid-face Lifting POINT

With minimal incisions, balanced and firm lifting across the entire face is possible,
offering natural looking and long-lasting results.
By inserting threads in a waterdrop shape, specific areas can be lifted more effectively,
which is a unique advantage of Onyoo’s SMAS Mid-face Lifting technique.

Targets the SMAS layer directly, addressing the root cause of sagging

Improves overall facial balance rather than isolated areas

Creates a natural sense of volume and contour by redistributing volume

Lifting the SMAS layer with minimal incisions

SMAS Mid-face Lifting Surgery Method

Step 01

Designing the treatment area

The procedure is tailored to the sagging areas and individual facial structure.

Step 02

Access through inside of the hairline (temple area)

A 3-4 cm incision is made inside the hairline in the temple area, where it is not visible.

Step 03

Separation and Lifting of the SMAS layer

The skin is lifted, and the SMAS layer is carefully separated and pulled.

Step 04

Closing the incision

The minimal incision is meticulously sutured for a delicate finish.

A Next-Level Innovation by ONYOO – New Technique

Upgraded Endoscopic Midface Lifting

Endoscopic midface lifting uses the same minimal incision approach
near the sideburn area as conventional techniques.
However, it is performed while directly visualizing the internal structures
through an endoscope.
While minimizing the incision range, the procedure involves step-by-step dissection from the SMAS layer to the retaining ligaments, followed by repositioning and fixation of the tissues in an upward direction.
This allows for more three-dimensional improvements with enhanced
longevity, while maintaining a natural appearance.

What makes it different from conventional midface lifting?

Key Points of Endoscopic Midface Lifting that determine precision & results

The depth of lifting and final results may vary depending on the extent of dissection and surgical visibility.
Endoscopic midface lifting allows direct visualization of internal structures and enables a more precise approach over a wider area, improving both the completeness and stability of the lift.

A Next-Level Innovation by ONYOO – New Technique

Upgraded Endoscopic Midface Lifting

Midface lifting offers a natural-looking improvement, while a full facelift provides more dramatic results.
Endoscopic midface lifting is an advanced technique that combines the strengths of both—
allowing a wider treatment area and more stable, long-lasting lifting.

Lifting procedures should be tailored based on the degree of sagging and the desired outcome.

Onyoo SMAS Mid-face Lifting KNOW-HOW

Why is it special?

01 Muscle Layer Lifting

Lifting is performed from the skin layer down to the SMAS layer. The key to effective lifting is to lift not just the skin, but the deeper muscle layer as well.

02 Minimal Incision

A small incision is made along the inside of the hairline or behind the ear, allowing for effective lifting with minimal scarring or tissue damage.

03 Meticulous Suturing

Precise suturing of the SMAS layer and skin helps minimize scarring and tissue trauma.

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Recommended procedures to combine with

1

Want to restore volume and achieve smooth, youthful contours around the cheeks and nasolabial folds?

Filler/Fat Grafting
2

Want to remove saggy or excess fat for a more defined and tighter facial contour?

Liposuction
3

Want to reduce the sunken or puffy look under your eyes and make our eyes appear clearer and more youthful?

Undereye Fat Repositioning

ONYOO Plastic Surgery
makes a promise to our customers.

ONYOO Plastic Surgery operates a 1:1 dedicated system, with one attending doctor taking responsibility for all surgeries until the very end.

Operating room safety system

The entire operating room is equipped with emergency power to prepare for sudden power outages or emergency situations that may occur during surgery.

Post-surgery care service

Our post-surgery recovery program allows you to return to your daily life more quickly and safely.

1:1 dedicated system

All surgeries are managed one-on-one until the very end by one attending physician who is a plastic surgeon .