FACELIFT (SMAS):
REJUVENATE YOUR FACE WITHOUT LOSING YOUR EXPRESSION
The SMAS technique repositions the deep layers of the face and neck, restoring firmness, definition, and a youthful appearance in a natural way without changing who you are.
More than 500 patients have chosen Dr. Gustavo Machado’s treatment in Nebraska.
With high-definition technology and a protocol that prioritizes your safety and natural results.
YOU DESERVE TO LOOK IN THE MIRROR WITH PRIDE AGAIN
If you feel that your face no longer reflects the vitality you feel inside, with sagging, loss of definition, and increasingly pronounced signs of aging, know that this is not vanity.
It’s about self-esteem. Identity. Respect for everything you’ve lived.
Many women feel the same. They avoid photos, makeup no longer hides much, and facial contours seem to have faded.
The good news is change is possible, and it can look natural.
DO YOU IDENTIFY WITH ANY OF THESE THOUGHTS?
• My face looks saggy. It doesn’t match the energy I still have.
• People say I look tired, even when I’m well-rested.
• I don’t want to look like someone else. I just want my expression back.
• I’ve had fillers, but they don’t solve the sagging.
• I want something more definitive, but not artificial.
If any of these statements resonate with you, the SMAS facelift may be the ethical, safe, and refined solution you’ve been looking for.
WATCH DR. GUSTAVO’S VIDEO
WHY DR. GUSTAVO IS THE RIGHT CHOICE
– Exclusive technology in the region: high-precision 3D lipo equipment
– Natural results as a priority: subtle, harmonious, and minimally invasive
– 13+ years of clinical experience and international training
– Chief of Plastic Surgery at Lincoln’s Trauma Center
– 600+ verified 5-star patient reviews
– SMAS deep facelift technique that repositions muscles, not just skin
– Preserves natural expression with no tight or stretched look
– Gradual recovery with full clinical support and post-op follow-up
– Over 13 years of experience in plastic surgery and international training
– Chief of Plastic Surgery at the Lincoln Trauma Center
– More than 600 real reviews with top ratings
WHY CHOOSE DR. GUSTAVO FOR YOUR FACELIFT?
WHAT IS THE SMAS FACELIFT?
The SMAS Facelift (Superficial Musculo-Aponeurotic System) is a deep facial rejuvenation surgery.
Unlike traditional facelifts, SMAS does not only pull the skin. It targets the muscle layers, repositioning the tissues that support your natural expression.
- Ideal for women between 55 and 70 years old
- Provides long-lasting rejuvenation while preserving facial identity
- Treats sagging in the jawline, neck, and lower third of the face
- Can be combined with complementary procedures such as blepharoplasty
WHAT PATIENTS SAY ABOUT DR. GUSTAVO?
More than 500 women have already followed Dr. Gustavo’s protocol in Nebraska.
With full focus on safety, natural results, and compassionate care, they have rediscovered not only their shape but also their self-esteem.
Still have questions? Start with a conversation.
Our team is ready to listen to you with empathy and professionalism.
- Board-Certified Plastic Surgeon in the U.S.
- 13+ years of surgical experience
- Specialized in Plastic and Hand/Upper Limb Surgery
- 600+ verified 5-star reviews
- 23+ years living in the U.S. — fluent in English, Spanish, and Portuguese
- Chief of Plastic Surgery at Lincoln Trauma Center
“Well-executed plastic surgery restores confidence, without exaggeration. My commitment is to deliver harmony, safety, and results with soul.”
— Dr. Gustavo Machado
curriculum
- 07/01/11 – 07/31/11
University of California Irvine Medical Center
Department of Orthopaedic Surgery
Hand and Upper Extremity Surgery
Clinical Instructor - 07/01/10 – 06/30/11
University of California Irvine Medical Center
Department of Orthopaedic Surgery
Hand and Upper Extremity Surgery Fellowship
PGY VII - 06/30/05 – 06/30/10
Loma Linda University School of Medicine
Department of Plastic and Reconstructive Surgery
Integrated Plastic Surgery Residency
PGY II-VI - 03/01/05 – 06/29/05
Loma Linda University School of Medicine
Department of General Surgery
Preliminary General Surgery Residency
PGY II - 03/01/04 – 02/28/05
Loma Linda University School of Medicine
Department of General Surgery
Preliminary General Surgery Residency Internship
PGY I - 04/01/03 – 02/28/04
Surgical Oncology Research Fellowship
Loma Linda University Medical Center/VA Medical Center
Supervisor: Mark Reeves, MD, PhD. - 03/1995 – 05/02
Universidad Adventista del Plata – Facultad de Ciencias de la Salud (River Plate Adventist University School of Medicine) – Entre Rios- Argentina
Medical Doctor Degree
- Prairie Orthopaedic & Plastic Surgery, PC f/k/a Prairie Shoulder, Elbow and Hand Center, PC
Lincoln, Nebraska
February 2012 to current - Plastic and Reconstructive Surgery
Hand and Upper Extremity Surgery
Private Practice
- Loma Linda University
- 2005 – Surgical Intern of the Year
- 2005 General Surgery Residency Program Award
Publications:
- Wong W, Machado GR, Hill M. Pyoderma Gangrenosum: The Great Pretender and a Challenging Diagnosis. J Cutan Med Surg. 2011 Nov-Dec;15(6):322-8
- Jones N, Machado GR. Tendon Transfers for Radial, Median, and Ulnar Nerve Injuries – Current Surgical Techniques. Clin Plastic Surg 2011 Oct;38(4); 621-642.
- Martin MC, Machado GR, Wong W, Yeung LC, Jean RD. The Transverse Ulnar Forearm Flap. J Craniofac Surg 2010;21: 1741-1744.
- Aragon RJ, Machado GR, Kuo IJ, Coutsoumpos A, Zmaj KB, Reeves ME. Sphincter Preservation and Local Recurrence Using a Multimodal Algorithm for Treatment of Surgically-Difficult Rectal Cancer. Ann Surg Oncol. 2010;17(1):S101
- Machado GR, Jean, R, Yeung LC, Martin MC. The Transverse Ulnar Forearm Flap. PRS 2009 Oct;124(4S):46 (Abstract)
- Machado GR, Bojalian MO, Reeves ME. Transanal Endoscopic Repair of Rectal Anastomotic Defect. Arch Surg 2005. Dec;140(12):1219-22.
- Mazraany W, Gabriel A, Machado GR, Reeves ME. Massive Pneumoscrotum following open Gastrostomy. A Case Report. Contemporary Surgery. 2004 May;60(5):219-21.
- Bojalian MO, Machado GR, Swensen R, Reeves ME. Radiofrequency ablation of liver metastasis from ovarian adenocarcinoma: case report and literature review. Gynecol Oncol. 2004 May;93(2):557-60.
Presentations:
- Machado, GR, Wong W, Martin MC: Improved Treatment of Mandible Fracture through the use of a Novel Cannulated Bone Clamp- Presented at the California Society of Plastic Surgeons 60th annual meeting- Rancho Palos Verdes – May 28 2010.
- Aragon RJ, Machado GR, Kuo IJ, Coutsoumpos A, Jaber MR, Zmaj KB, Reeves ME. Sphincter Preservation and Local Recurrence Using a Multimodal Algorithm for Treatment of Surgically Difficult Rectal Cancer. Association of VA Surgeons 35th Annual Meeting. Irvine, CA, April 10-12, 2011.
- Aragon RJ, Jaber MR, Bojalian MO, Machado GR, Kaur I, Olafsson S, Reeves ME. A Prospective, Randomized, Double Blind, Placebo-Controlled Trial of Antibiotic Wound Irrigation in Major Clean-Contaminated Colorectal Surgery. American College of Surgeons 96th Annual Clinical Congress. Washington, DC, October 3-7, 2010.
- Aragon RJ, Bojalian M, Machado GR, Jaber MR Kaur I, Olafsson S, Reeves ME. Antibiotic Irrigation Does Not Reduce Wound Infection Rate in Major Clean-Contaminated Colorectal Surgery. Results from a Prospective, Randomized Double Blind, Placebo-Controlled Trial. Oral Presentation. Association of VA Surgeons 34th Annual Scientific Meeting, Indianapolis, IN, May 9-11, 2010.
- Aragon RJ, Machado GR, Kuo IJ, Jaber MR, Coutsompous A, Olafsson S, Reeves ME. Rate of sphincter preservation and local recurrence after institution of a multimodality algorithm for treatment of rectal cancer. Poster presentation. Society of Surgical Oncology 63rd Annual Cancer Symposium, St. Louis, MO, March 3-7, 2010.
- Jean R, Machado GR, Martin MC: Intra-operative External Fixation of Mandible Fractures Allows Dynamic Occlusal Assessment and Obviates Maxillomandibular Fixation- Oral Presentation at the American Society of Plastics Surgery – Seattle October 24 2009.
- Jean R, Machado GR, Martin MC: The Transverse Ulnar Forearm Flap- Oral Presentation at the American Society of Plastics Surgery – Seattle October 24 2009.
- Martin MC, Machado GR, Cho DC, Thimmappa B, Arutyunyan G: Intra- Operative Temporary Rigid Fixation of Mandible Fractures Allows Dynamic Occlusal Assessment and Makes Maxillomandibular Fixation Unnecessary- Oral Presentation at the 59th Annual Meeting of the California Society of Plastic Surgeons – Olympic Valley, CA 05/2009
- Machado GR, Martin MC, Cho DC, Kempton BS: The Transverse Ulnar Forearm Flap- Oral Presentation at the 59th Annual Meeting of the California Society of Plastic Surgeons – Olympic Valley, CA 05/2009
- Martin MC, Machado GR, Cho DC, Thimmappa B, Arutyunyan G: Intra-Operative Temporary Rigid Fixation of Mandible Fractures Allows Dynamic Occlusal Assessment and Makes Maxillomandibular Fixation Unnecessary- Poster Presentation at the 88th Annual Meeting of the American Association of Plastic Surgeons- 03/23/2009.
- Machado,GR, Gabriel A, Shores JT: Effects of Wound Vac in the Treatment of Complex Lower Extremities wounds- Oral Presentation at the California Society of Plastic Surgeons/Rocky Mountain Association of Plastic Surgeons Joint Annual Meeting, June 3, 2006. Las Vegas, NV.
- American Society of Plastic Surgeons
- American Medical Association
- American Society for Surgery of the Hand
- 09/2008
Santo Domingo – Dominican Republic. Reconstructive Congenital, Traumatic Craniofacial and Hand deformities. - 03/2007
Malawi – Africa – Surgical Oncology and General Surgery care of a wide spectrum of tumors and common surgical problems.
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FREQUENTLY ASKED QUESTIONS
→ No. That’s exactly the main difference of the SMAS technique. Instead of just pulling the skin, the procedure repositions the deeper facial structures (muscles and subcutaneous tissue), preserving your natural expressions. The result is subtle, elegant rejuvenation with no exaggeration.
→ While traditional facelifts act more superficially, SMAS targets the deeper muscle layers, offering a more anatomically correct and longer-lasting result. It’s considered the gold standard in modern facial rejuvenation.
→ The procedure is performed under anesthesia. Most patients report mild to moderate discomfort afterward, easily managed with medication. Initial swelling reduces within 10 to 21 days, and within a few weeks, you’ll feel ready to return to your routine with confidence.
→ Although aging continues naturally, SMAS facelift results can last 8 to 12 years, especially when combined with healthy habits and proper skincare. It’s a long-term investment in your appearance and confidence.
→ The incisions are placed in strategic areas, such as behind the ear and along the hairline, and follow refined suturing techniques. Over time, most scars become nearly imperceptible.
→ Yes. Fillers are used for volume but do not address muscle sagging. The SMAS facelift works where those treatments can’t. After evaluation, Dr. Gustavo will personalize the best approach for you, including combining techniques if necessary.
→ There is no fixed rule. Most patients are between 50 and 70 years old and show visible signs of facial and neck sagging. The right time depends on your anatomy, health, and expectations.
→ The first step is a personalized consultation. Dr. Gustavo will get to know your story, examine your face, and recommend what truly makes sense for your case, with clarity, ethics, and care.
CONTACT
Dr. Gustavo Machado, MD — Plastic Surgeon
Board Certified | 13+ Years of Experience | Exclusive High-Definition Plastic Surgery Technology
4130 Pioneer Woods Dr., Lincoln, NE 68506
(402) 489-4700
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