We describe a variation of sub–superficial musculoaponeurotic system (SMAS) rhytidectomy. An incision in the SMAS is made from the lateral malar eminence to the angle of the mandible. A SMAS flap is raised and then imbricated directly onto the periparotid fascia after posterosuperior advancement.
View a http://archfaci.ama-assn.org/cgi/content/full/13/2/108/DC1video demonstrating this
Pepper J, Baker SR. SMAS Flap Rhytidectomy. Arch Facial Plast Surg. 2011;13(2):108. doi:10.1001/archfacial.2011.11