SMAS Facelift in Gangnam: Lifting the Deeper Layer, Not Just Skin
The short answer
An SMAS facelift lifts and tightens the superficial musculoaponeurotic system, the fibrous layer beneath the facial skin, before re-draping the skin, which gives a more natural and longer-lasting result than a skin-only lift. In Gangnam it typically costs about KRW 12–25 million, takes 3–5 hours under general anesthesia or deep sedation, and needs about 2 weeks in Seoul. Results commonly last around 8–12 years.
Key facts
- What it treats: Jowls, sagging lower face, early neck laxity, deep folds
- Typical cost in Gangnam: About KRW 12–25 million
- Operating time: About 3–5 hours
- Anesthesia: General or deep sedation
- Incisions: In front of and behind the ear, into the hairline
- Recommended stay: About 14 days
- Typical longevity: About 8–12 years
What an SMAS facelift does
Under your facial skin sits the SMAS, a thin, fibrous layer that connects the facial muscles and the fat compartments of the cheek, jaw and neck. With age, this layer and the ligaments that hold it loosen, so the cheeks descend, jowls form along the jaw and the neck softens. Pulling only the skin flattens the face and tends to stretch back quickly.
In an SMAS facelift, the surgeon lifts the skin, then tightens the SMAS itself by folding it (plication), cutting and lifting a strip (SMASectomy) or raising it as a flap. The deep layer carries the weight of the lift, and the skin is re-draped over it with little tension. This is why the result tends to look less "pulled" and why SMAS techniques are the standard approach for most modern facelifts in Gangnam.
Types of SMAS facelift in Korea
Standard SMAS facelift
Tightens the SMAS over the cheek and jawline to correct jowls and lower-face sagging.
Extended SMAS facelift
Extends the SMAS release higher toward the cheekbone for more mid-face lift.
SMAS plus neck lift
Adds platysma tightening and neck liposuction when neck bands or a soft jawline angle are present. See neck lift.
SMAS plus fat grafting
Restores lost volume in the temples, cheeks or folds alongside the lift, using facial fat grafting.
Who it suits
- Moderate jowls and lower-face sagging, usually from the mid-40s onward
- Skin laxity that threads or energy devices no longer improve
- Patients wanting a lasting result with a natural look
Choosing a surgeon in Gangnam
Gangnam has a high concentration of facial plastic surgeons, and many clinics have English-speaking coordinators. When comparing, look at the surgeon's specialty training, how many facelifts they perform, whether the surgeon who consults is the surgeon who operates, anesthesia monitoring and overnight care. Our facelift clinics in Korea guide lists options neutrally.
Cost of SMAS facelift in Korea
| Plan | Typical Gangnam range |
|---|---|
| SMAS facelift (lower face) | KRW 12–20 million |
| SMAS plus neck lift | KRW 15–25 million |
| Add fat grafting | About KRW 2–5 million extra |
Ask whether quotes include anesthesia, overnight stay, drains, garments and follow-up visits. For comparisons, see SMAS vs deep plane facelift costs.
Recovery and results
| When | What to expect |
|---|---|
| Days 1–3 | Swelling, tightness, head dressing, sometimes drains |
| Days 7–10 | Stitches removed; bruising fading |
| Weeks 2–3 | Presentable with makeup; cleared to fly |
| Months 3–6 | Final softness and contour |
Numbness in front of the ears is common for several months. Scars in front of and behind the ear usually fade to fine lines within a year.
Risks to discuss at your consultation
Ask about hematoma (the most common early complication, more frequent in men and with high blood pressure), facial nerve weakness (usually temporary), scar widening, hairline shift, earlobe distortion and skin healing problems, especially in smokers.
SMAS vs. deep plane facelift
| SMAS facelift | Deep plane facelift | |
|---|---|---|
| Layer lifted | SMAS, separately from skin | Skin and SMAS as one unit, ligaments released |
| Mid-face effect | Moderate | Stronger |
| Typical cost | KRW 12–25 million | KRW 18–35 million |
This guide is for general information and is not medical advice. Prices are typical ranges reported by Gangnam clinics in 2026 and vary by clinic, doctor and treatment plan; confirm directly with the clinic.
Patient questions
Frequently asked questions
How long does an SMAS facelift last?
Results commonly last about 8–12 years, though ageing continues from the new baseline.
Will I look pulled?
Lifting the deeper SMAS layer reduces skin tension, which helps avoid a pulled look.
How long should I stay in Seoul?
About 2 weeks so stitches can be removed and swelling checked before flying.
Is SMAS the same as deep plane?
No. Both involve the SMAS, but deep plane lifts skin and SMAS together and releases more ligaments.
Can I combine it with eyelid surgery?
Yes, many patients combine a facelift with blepharoplasty in one session.
Not sure which Gangnam clinic is right for you?
Tell us your goals, budget and travel dates. Our English-speaking coordinators compare doctor-led clinics and usually reply with free quotes within 24 hours.