Dear Karl, At the start of the new millennium, the SMAS concept described by Mitz and Peyronnie, has been changed to SMAFS, by our Plastic surgeon, H.A.Khawaja, MD et al ( published in Advanced Surgical Facial Rejuvenation, book Springer-Verlag, Berlin ). The discovery of SMAFS, its different variants and techniques leading to plication and suspending of SMAFS, have important implications in face and neck lift surgery. We perform a SMAFS face and neck lift, in which facial muscles, alongwith SMAFS is dealt with leading to tightening, plication and suspension of SMAFS and facial muscles. It can be scarless lift or with short hidden scar/s or scar in the folds, which fade away quickly. SMAFS face lift lasts for a life time. You can read more details on our facebook page CSSC international + or on our facebook profile Cosm Surg. Please note your on-line consultation is absolutely FREE ! You can contact us on whatsapp / Imo.