Facelifting was first performed in the early 1900s and for most of the 20th century involved skin underminig and skin excision. A revolution occured in the public became exponentially more interested in the procedure. The SMAS rhytidectomy, also known as an SMAS facelift, is a surgical procedure that targets the lower two-thirds of the face. It is performed to address sagging skin, excess fat, jowls, and loss of volume in the cheeks. It is less invasive than a regular facelift, which targets the superficial skin of the face, and recuperation is faster. The SMAS (superficial muscular aponeurotic system) is a layer of tissue deep within the skin and subcutaneous tissue. It is one of the most important support structures for the face. The manipulation of this anatomic structure changes the appearance of the face.