Prudent surgeons who perform face-lifting operations continue to alter techniques to reduce morbidity and achieve lasting results. The philosophy and technique herein described arose from the premise that suspension of the superficial musculoaponeurotic system (SMAS) suspends the skin-adipose unit (SA). In turn, suspension of the skin-adipose unit (SA) suspends the SMAS. When proper suspension is achieved, both systems function in tandem as a single unit, ie, the SASMAS (skin-adipose superficial musculoaponeurotic system). The SASMAS technique has been performed in approximately 1200 patients with gratifying results and minimal complications.