Plastic Surgeon
The superficial muscular aponeurotic system, or SMAS, is a thin continuous layer of fibromuscular tissue that continues as the platysma into the neck and vital in maintaining the facial structure. Beneath the SMAS layer lies a critical section of the face that includes muscles, nerves, salivary glands, and blood vessels, which are responsible for facial movement and expression. This area also contains specialized retaining ligaments help keep the skin tethered to the deeper fascia and periosteum. As we age, these ligaments loosen, which leads to sagging of the SMAS and platysma and ultimately the skin.
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