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Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon™

698: The Truth About SMAS Lifting Botox: Science vs. Social Media

Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon™

Kay Durairaj, MD, FACS @beautybydrkay

Health & Fitness, Medicine, Arts, Management & Marketing, Fashion & Beauty, Business

5604 Ratings

🗓️ 24 January 2025

⏱️ 8 minutes

🧾️ Download transcript

Summary

On this Five-Minute Friday, I’m breaking down the truth behind the SMAS lifting Botox trend that’s taken social media by storm. Is Botox really capable of lifting your face like a surgical facelift? Not quite. Join me as I explain the science behind the SMAS, why Botox doesn’t work the way some claim, and the risks of following these unproven trends. I’ll also share effective, science-backed alternatives to achieve the natural tightening and lifting you’re looking for. Stay informed, stay beautiful, and don’t fall for the hype.

Transcript

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0:00.0

Well, hello, hello, guys, you're listening to Beauty Bites with Dr. K., Secrets of a Plastic Surgeon,

0:20.2

and it's time for a five-minute

0:22.0

Friday. Yay, today let's talk about some craziness that we've been seeing on social media.

0:28.4

I've been getting so many messages and patients walking in the office asking for lifting

0:34.1

Botox, a SMAS facelift with Botox. Have you heard of this? Well, let's talk about it. The SMAS is the

0:40.6

superficial muscular aponeurotic system. Almost everyone's heard of a deep plane lift where they lift the SMAS

0:46.4

and Pexi and tighten things. This SMAS or submuscular aponeurotic system is a really complex fibrous network. It's connected to the muscles of facial

0:57.7

expression and it does play an important role in supporting the midface and the lower face. It's really

1:04.0

tightly integrated with your facial muscles, especially around the hairline and ears. And it does

1:09.6

help to kind of stabilize muscles and their attachments

1:12.6

to bony architecture. And so I've seen this trend where injectors are injecting the forehead,

1:18.5

down the temple, in front of the ear, and then swinging up behind the ear into the back of the neck

1:25.1

and hairline back there. And they're drawing really carefully

1:28.6

precise injection points. It's always on a very Instagram-y, beautiful face. These videos are done

1:34.5

very aesthetically. And these practitioners are alleging and exploring the idea that Botox

1:41.8

placed here all around the face or confrontially can lift the face.

1:46.7

First of all, let's just say nothing's been published about this technique. And second of all,

1:52.8

it does not make a lot of logical sense because that is not what this mask does. And third of all,

1:59.4

Botox relaxes muscle tone.

2:02.4

And therefore, when we place it in areas

2:05.1

where depressing muscles are pulling down,

2:08.1

we can get some lift.

...

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