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Deep Plane Anatomy for the Facelift Surgeon: A Comprehensive Three-Dimensional Journey.

Authors:
Christopher C Surek Amanda Moorefield

Facial Plast Surg Clin North Am 2022 May;30(2):205-214

Kansas City University.

Strong command of facial anatomy is paramount for all facelift surgeons. A comprehensive understanding of how aging impacts facial anatomy is equally important for effective preoperative evaluation of the patient undergoing facelift surgery. Key areas for assessment of the patient undergoing facelift surgery are addressed. This article highlights and summarizes the high-yield anatomic pearls in facelift surgery, particularly in sub-SMAS (superficial musculoaponeurotic system) dissection techniques. Emphasis is placed on the depth and transitions of the facial nerve branches and the sub-SMAS potential spaces and their role in deep plane facelift dissection. Key anatomic structures in the deep neck are described.

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http://dx.doi.org/10.1016/j.fsc.2022.01.015DOI Listing
May 2022

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Complicated Facial Fillers: Management Algorithm.

Authors:
Fouad Mohamed Ghareeb Medhat Sami Ali Hassan Mohamed Abdalla El Nahas Mahmoud Sadek El Sayed Salem

Plast Reconstr Surg Glob Open 2022 Jul 22;10(7):e4445. Epub 2022 Jul 22.

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Menoufia University, Shebin El Koom, Governerate El Menoufia, Egypt.

Background: Various materials have been developed as skin fillers to correct wrinkles of the face. Dermal fillers are classified based on their biodegradability into bioresorbable versus nonbioresorbable. All dermal fillers have a potential risk of complications, which can be classified as early and late onset events. Read More

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July 2022
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Jawline Refinement in Face Lifting: The Five Zones and the Five-Step Technique.

Authors:
Rod J Rohrich Edward S Chamata Justin L Bellamy Brendan Alleyne

J Plast Reconstr Aesthet Surg 2022 Jun 20. Epub 2022 Jun 20.

Dallas Plastic Surgery Institute, 9101 North Central Expressway, Expressway #600, Dallas, TX 75231. Electronic address:

Facial aging changes due to increased skin laxity as well as soft tissue atrophy and decent lead to blunting and distortion of previously well-defined zones of the face and neck. A critical component of re-establishing a youthful appearance during facelift and neck lift surgery is restoring a well-defined mandibular contour. Key principles of jawline refinement include the addition of volume to deficient areas and removal of volume in areas of unwanted fullness to re-establish facial harmony in the lower face and neck. Read More

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June 2022
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Facelift Patients Receiving Intraoperative Administration of a Self-assembling Hemostat Agent Experienced Minimal Bruising and No Acute Hematomas: A Pilot Study.

Authors:
Julius Few

Aesthet Surg J Open Forum 2022 29;4:ojac037. Epub 2022 Apr 29.

Background: Hematomas are consistently cited as the most common complication of facelift surgery, with reported incidence rates ranging from 1% to 9% despite preventative measures. A self-assembling RADA16 peptide solution (PuraSinus, 3-D Matrix, Newton, MA) designed to aid in wound healing, adhesion prevention, and bleeding control has demonstrated hemostatic control of intra- and postoperative bleeding associated with various surgical procedures, including nasal and sinus surgery.

Objectives: To report surgical experience using novel application of RADA16 hemostatic agent in facelift procedures. Read More

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April 2022
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A facelift procedure for resection of a branchial cleft cysts.

Authors:
Nobuo Ohta Takahiro Suzuki Naoya Noguchi Shion Shirane Nanako Ansai Teruyuki Sato Yusuke Ishida Keigo Murakami Kazuhiro Murakami Yasuhiro Nakamura

Auris Nasus Larynx 2022 Jul 13. Epub 2022 Jul 13.

Division of Pathology, Tohoku Medical and Pharmaceutical University, 1-12-1, Fukumuro, Miyaginoku, Sendai 983-8512, Japan.

Objectives: Branchial cleft cysts (BCCs) are common in daily practice, however, BCC patients suffer aesthetic problems due to postoperative scars on visible parts after surgery. To analyze the feasibility, surgical outcomes and possible risks and complications encountered during a facelift procedure for patients with BCC.

Methods: This retrospective analysis examined patients who had undergone surgery for branchial cleft cyst using a facelift procedure (n = 16) or conventional transcervical resection (n = 20) at our institutes between April 2015 and August 2021. Read More

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July 2022
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A New Complex Minimally Invasive Thread Lift Method for One-Time Three-Step Fixation of the Face and Neck Soft Tissues.

Authors:
Olga Zhukova Sergey Dydykin Eliska Kubíková Natalia Markova Yuriy Vasil'ev Marina Kapitonova

Arch Plast Surg 2022 May 27;49(3):296-303. Epub 2022 May 27.

Department of Basic Medical Sciences, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.

 In recent years thread lift has become widespread; however, existing methods need to improve their long-term outcome, which requires considering topographic anatomy of face and neck, especially the ligamentous apparatus. This study aims to assess the effectiveness and safety of an innovative method of one-time three-step thread facelift, which provides an additional support to the ligamentous structures of the upper, middle, and lower thirds of the face and neck.  The study included 357 patients aged 32 to 67 years with various morphotypes of aging. Read More

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May 2022
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