ABSTRACT: BACKGROUND: The main goal of facelift surgery is to reduce the effect of aging by reposition of face soft tissue in to more youthful orientation. There are many methods for SMAS plication which had different design and vector of pull. AIM OF STUDY: To evaluate the effectiveness and longitivity of 7 shaped SMAS plication in facelift. PATIENT AND METHODS: From January 2020 to march 2021, 10 female patients with age (45-60) years were presented with facial sagging, those patients were subjected to subcutaneous facelift with 7 shaped SMAS plication with fat greft in Al-Shaheed Ghazi Al-Harri Hospital and Baghdad burn medical center at Baghdad medical complex. RESULTS: The average follow up period was 6 to 12 months. The mean operative time was 1 hour and 30 minutes. Additional facial procedures were later done which including: fat injection (all patients), brow lift (one patient), facial scar subcision with fat grafting (one patient) and sub mental liposuction with platysma plication (2 patient). All of our patients demonstrate high level of subjective satisfaction with quick recovery with no major or minor complications CONCLUSION: The subcutaneous facelift with 7 shaped SMAS plication is simple to learn with high patients satisfaction and long lasting result.