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Nuances in Superficial Musculoaponeurotic System Rhytidectomy.

Authors:
Daniel E Rousso Austin S Adams

Facial Plast Surg Clin North Am 2020 Aug;28(3):285-301

Surgery, Facial Plastic Surgery, Rousso Facial Plastic Surgery Clinic, 2700 Highway 280, Suite 300 West, Birmingham, AL 35223, USA.

Rhytidectomy techniques have evolved since the early 1900s. As the understanding of facial anatomy and the aging process expanded, the superficial musculoaponeurotic system (SMAS) became a focal point in developing longer-lasting, natural results. Further evolution led to various approaches in repositioning the SMAS layer, including subperiosteal, composite, and deep plane rhytidectomies. This article describes the nuances of SMAS rhytidectomy, the biplanar SMAS imbrication technique, and adjuvant procedures used. This biplanar SMAS technique has been refined over more than 25 years and has proved to be a reliable and safe technique that leads to high patient satisfaction with minimal complications.

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http://dx.doi.org/10.1016/j.fsc.2020.03.010DOI Listing
August 2020

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