Six months after a facelift and neck lift, you're looking at what an SMAS-based approach produces in a woman in her mid-fifties. The SMAS technique works at the level of the muscle and connective tissue layer beneath the skin, rather than relying on skin tension alone. That deeper repositioning is what distinguishes it from a skin-only lift and tends to produce results that hold over time. The after photo, taken at the six-month mark, shows the face and neck with the skin surface still settling, which is normal at this stage of recovery. Shown with the patient's written consent. Save it to your Favorites ❤️ if you want to come back to it during your consultation.