The discovery of SMAFS ( Superficial Musculo-Aponeurotic-Fatty System ) - A changed SMAS concept and its clinical implications in facial plastic and face lift surgery, by our plastic surgeon, Dr H A Khawaja, several years ago, was a major break-through. The techniques of SMAFS plication and tightening to achieve excellent long lasting results in Face Lift Surgery, have been extensively published in various cosmetic surgery books and also on-line in The Meso-American Journal of Cosmetic Surgery. SMAFS face lift is done by us totally in local anesthesia as walk in walk out surgery. Since there are a variety of SMAFS face lift techniques, each one tailored to individual patient needs, it is best to have a personal consultation or you can also send us your clear front and side view pictures of face and then call us for details. You should search for the best surgeon, not the cheapest.