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Superficial muscular aponeurotic system

Superficial muscular aponeurotic system (SMAS) is a thin yet tough unitary tissue plane of the face formed by facial fasciae, subcutaneous connective tissue, and facial muscles. Its composition varies, containing muscle fibres in some areas, and fibrous or fibroaponeurotic tissue in others. It connects to the dermis via vertical septa. It does not attach to bone. In most areas, a distinct plane can be defined deep to the SMAS.

Clinical significance
The SMAS is clinically important in facial plastic surgery for rhytidectomy (facelift procedure). During this procedure, the SMAS is accessed through an arch-shaped incision anterior to the ear; a portion of the SMAS is then excised and the remaining SMAS is stretched by drawing it posterior-ward and suturing it, thus making the skin of the face which overlies the SMAS taut. == References ==
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