76 results match your criteria Facelift Composite

Facelift Part II: Surgical Techniques and Complications.

Aesthet Surg J 2021 Feb 9. Epub 2021 Feb 9.

Although previous publications have reviewed face and neck-lift anatomy and technique from different perspectives, seldom were the most-relevant anatomical details and widely practiced techniques comprehensively summarized in a single work. As a result, the beginner is left with a plethora of varied publications that require sorting, re-arrangement, and critical reading. A recent survey of US plastic surgery residents and program directors disclosed less facility with facelift surgery when compared to aesthetic surgery of the breast and trunk. Read More

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February 2021

Facelift Surgery: History, Anatomy, and Recent Innovations.

Facial Plast Surg 2020 Sep 16. Epub 2020 Sep 16.

Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Facelift surgery has become a beautifully predictable, safe, and extremely effective operation. Our patients can expect natural and long-lasting results as a direct outcome of our improved understanding and applications of surgical facial anatomy. Rhytidectomy, once an operation of simple well-placed elliptical skin excisions, evolved to include longer skin flaps, skin and platysma flaps with various superficial muscular aponeurotic system (SMAS) manipulations, and various deep plane techniques involving the skin and SMAS as a single unit composite flap. Read More

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September 2020

A Novel Volumizing Extended Deep-Plane Facelift: Using Composite Flap Shifts to Volumize the Midface and Jawline.

Andrew A Jacono

Facial Plast Surg Clin North Am 2020 Aug;28(3):331-368

NY Center for Facial Plastic & Laser Surgery/JSpa Medical Spa, 630 Park Avenue, New York, NY 10065, USA. Electronic address:

Traditional superficial musculoaponeurotic system (SMAS) facelifting surgery uses a laminar surgical dissection. This approach does not treat areas of facial volume loss, and requires additional volume supplementation with fat grafting or fillers. The novel volumizing extended deep-plane facelift uses a composite approach to the facelift flap. Read More

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Nuances in Superficial Musculoaponeurotic System Rhytidectomy.

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. Read More

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Comparison of Hamra's and Mendelson's Models of Midface Lift.

J Craniofac Surg 2019 Nov-Dec;30(8):2632-2634

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

The aim of this study was to compare Hamra's and Mendelson's models of midface lift.The terms "Hamra ST" and "Mendelson BC" were used to search PubMed, yielding 35 and 48 papers, respectively. Of the 83 abstracts, 55 were excluded and 28 full papers discussing midface lift were reviewed. Read More

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January 2020

Lateral Skin-Platysma Displacement: A New Approach to Neck Rejuvenation Through a Lateral Approach.

Clin Plast Surg 2019 Oct 6;46(4):587-602. Epub 2019 Aug 6.

Private Practice, 35 Via Giovanni Severano, Rome 00161, Italy.

Lateral skin-platysma displacement is a new technique for neck rejuvenation based on composite platysma-cutaneous flaps repositioned laterally through cable sutures. This technique skews the anatomy of the muscle, displacing it in a more lateral position and decreases the risk of paramedian bands recurrence. Traction applied to the midbody of the myocutaneous flaps is more effective in treating anterior excess skin than traction applied to the lateral platysma borders. Read More

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October 2019

A Double-Blind, Placebo-Controlled, Phase 3b Study of ATX-101 for Reduction of Mild or Extreme Submental Fat.

Dermatol Surg 2019 12;45(12):1531-1541

Allergan plc, Irvine, California.

Background: ATX-101 (deoxycholic acid injection) is approved for reduction of moderate or severe submental fat (SMF).

Objective: To evaluate the efficacy and safety of ATX-101 in subjects with mild or extreme SMF.

Patients And Methods: Adults with mild or extreme SMF (based on clinician assessment) were randomized to receive ≤6 treatments with ATX-101 or placebo. Read More

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December 2019

A Meta-Analysis of Complication Rates Among Different SMAS Facelift Techniques.

Aesthet Surg J 2019 08;39(9):927-942

Facial plastic surgeon in private practice in North Charleston, SC.

Background: Sub-superficial musculo-aponeurotic system (SMAS) rhytidectomy techniques are considered to have a higher complication profile, especially for facial nerve injury, compared with less invasive SMAS techniques. This results in surgeons avoiding sub-SMAS dissection.

Objectives: The authors sought to aggregate and summarize data on complications among different SMAS facelift techniques. Read More

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A Novel Extended Deep Plane Facelift Technique for Jawline Rejuvenation and Volumization.

Aesthet Surg J 2019 11;39(12):1265-1281

Department of Otolaryngology, Head and Neck Surgery, Albert Einstein College of Medicine, New York, NY.

Background: Jawline aging is a complex process. We believe loss of posterior jawline definition and volume depletion is an underappreciated factor in the aging face.

Objectives: The aim of this study was to describe a novel composite, rotational flap modification of an extended deep-plane rhytidectomy. Read More

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November 2019

Extended Deep Plane Facelift: Incorporating Facial Retaining Ligament Release and Composite Flap Shifts to Maximize Midface, Jawline and Neck Rejuvenation.

Clin Plast Surg 2018 Oct;45(4):527-554

New York Center for Facial Plastic and Laser Surgery, 630 Park Avenue, New York, NY 10065, USA.

This article describes our extended, deep plane facelift technique. This procedure releases 4 key retaining ligaments in the face and neck, the zygomatic cutaneous, masseteric cutaneous, mandibular cutaneous, and cervical retaining ligaments. Once released, the composite deep plane flap is repositioned to volumize the midface and gonial angle. Read More

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October 2018

Modified Composite-Flap Facelift Combined With Finger-Assisted Malar Elevation (FAME): A Cadaver Study.

Aesthet Surg J 2018 Nov;38(12):1269-1279

Surgeon, Department of Otolaryngology, Head and Neck Surgery, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.

Background: Inadequate release of retaining ligaments during facelift surgery may lead to an unnatural appearance. However, most facelift surgeons are hesitant in transecting these ligaments to avoid possible injury to facial subbranches.

Objectives: In the authors' surgical practice for modified composite flap rhytidectomy, the authors employed the finger-assisted malar elevation (FAME) technique in order to enable safe release of the zygomatic cutaneous ligaments through the prezygomatic space under direct vision. Read More

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November 2018

Objective estimation of patient age through a new composite scale for facial aging assessment: The face - Objective assessment scale.

J Craniomaxillofac Surg 2016 Jul 15;44(7):775-82. Epub 2016 Feb 15.

Department of Plastic and Reconstructive Surgery, Henri Mondor Hospital, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France.

Most patients requesting aesthetic rejuvenation treatment expect to look healthier and younger. Some scales for ageing assessment have been proposed, but none is focused on patient age prediction. The aim of this study was to develop and validate a new facial rating scale assessing facial ageing sign severity. Read More

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Response to "Commentary on: Total Composite Flap Facelift and the Deep-Plane Transition Zone: A Critical Consideration in SMAS-Release Midface Lifting".

Marc Mani

Aesthet Surg J 2016 06 29;36(6):NP208-12. Epub 2016 Mar 29.

Dr Mani is a plastic surgeon in private practice in Beverly Hills, CA, USA.

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Commentary on: Total Composite Flap Facelift and the Deep-Plane Transition Zone: A Critical Consideration in SMAS-Release Midface Lifting.

Sam T Hamra

Aesthet Surg J 2016 May 1;36(5):546-9. Epub 2016 Mar 1.

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

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Total Composite Flap Facelift and the Deep-Plane Transition Zone: A Critical Consideration in SMAS-Release Midface Lifting.

Marc Mani

Aesthet Surg J 2016 May 1;36(5):533-45. Epub 2016 Mar 1.

Dr Mani is a plastic surgeon in private practice in Beverly Hills, CA.

Background: Recent anatomic studies suggest the superficial musculoaponeurotic system (SMAS) layer attenuates in the midface. This led the author to switch from a bilamellar high SMAS dissection to a "total composite flap" technique, preserving skin and SMAS/platysma as one layer in a critical "deep-plane transition zone" (DTZ) lateral to the zygomaticus major muscle. This allows traction on the SMAS to translate to the malar fat pad via a "cantilever bridge" effect, which is lost when skin is undermined in the DTZ. Read More

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Biplanar superficial musculoaponeurotic system imbrication rhytidectomy.

Facial Plast Surg 2014 Aug 30;30(4):380-93. Epub 2014 Jul 30.

Ear, Nose, & Throat Surgeons of Western New England, Springfield, Massachusetts.

Rhytidectomy techniques have evolved significantly since the procedure's introduction in the early 20th century. Significant advancements in rhytidectomy techniques occurred in the 1960s and 1970s with the description of the subfascial rhytidectomy, the identification of the superficial musculoaponeurotic system (SMAS), and development of the SMAS flap. The incorporation of fascial undermining and suspension techniques have significantly improved the longevity and natural appearance of the facelift operation. Read More

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Vertical neck lifting.

Facial Plast Surg Clin North Am 2014 May;22(2):285-316

Facial Plastic Surgery, The New York Center for Facial Plastic and Laser Surgery, 5th Avenue, New York, NY 10075, USA; Facial Plastic Surgery, The Beverly Hills Center for Plastic and Laser Surgery, Beverly Hills, CA 90210, USA.

The authors' vertical neck lifting procedure is an extended deep plane facelift, which elevates the skin and SMAS-platysma complex as a composite unit. The goal is to redrape cervicomental laxity vertically onto the face rather than laterally and postauricularly. The authors consider this an extended technique because it lengthens the deep plane flap from the angle of the mandible into the neck to release the cervical retaining ligaments that limit platysmal redraping. Read More

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Surgical anatomy of the middle premasseter space and its application in sub-SMAS face lift surgery.

Plast Reconstr Surg 2013 Jul;132(1):57-64

Toorak, Victoria, Australia; and Singapore From the Center for Facial Plastic Surgery and W Aesthetic Plastic Surgery.

Background: The premasseter space is a recognized, sub-superficial musculoaponeurotic system (SMAS) soft-tissue space overlying the lower masseter immediately anterior to the parotid. The performance, safety, and effectiveness of composite face lifts are enhanced when the space is used. This has drawn attention to the need for better understanding of the premasseter anatomy above the space. Read More

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Esthetic outcome after soft tissue reconstruction of the face using deep dissection and composite facelift technique.

J Oral Maxillofac Surg 2013 Aug 26;71(8):1415-23. Epub 2013 Mar 26.

Department of Oral, Maxillofacial, and Plastic Facial Surgery, University Hospital RWTH-Aachen, Aachen, Germany.

Purpose: Large defects in the face resulting from the excision of malignant tumors, trauma, and congenital malformation pose a significant challenge to reconstructive surgeons. Achieving good esthetic and functional outcomes is often very demanding.

Patients And Methods: A facelift technique was used in 47 patients (25 female, 22 male; age range, 17. Read More

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Accessory parotid gland tumours: 24 years of clinical experience.

Int J Oral Maxillofac Surg 2012 Dec 9;41(12):1453-7. Epub 2012 Oct 9.

University of Zagreb School of Medicine, Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia.

The accessory parotid gland (APG) is salivary tissue anterior to and anatomically separate from the parotid gland. APG is a common anatomical variation, but APG tumours are extremely rare. The authors report 6 patients with APG tumours emphasizing the diagnosis, clinical features, indications and rationales for different treatment approaches. Read More

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December 2012

Endoscopic technique and liposuction-assisted facial composite rhytidectomy.

Plast Reconstr Surg 2012 Aug;130(2):372e-373e

Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, People's Republic of China (Xie) Department of Plastic Surgery, China-Japan Friendship Hospital, Beijing, People's Republic of China (Song).

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Morphology of the zygomaticus minor and its relationship with the orbicularis oculi muscle.

J Craniofac Surg 2012 Mar;23(2):546-8

Department of Anatomy and Cell Biology, Hanyang University College of Medicine, Seoul, South Korea.

The aim of this study was to examine in detail the anatomic variations in the orbicularis oculi muscle (OOc) and relationship of the zygomaticus minor muscle (ZMi) with the OOc, thereby providing an anatomic basis for explaining facial animation and attachment to the periorbital muscle. Sixty-one hemifaces from embalmed Korean adult cadavers (34 males, 27 females; age range, 45-85 years; mean age, 62.6 years) were used in this study. Read More

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Validated composite assessment scales for the global face.

Dermatol Surg 2012 Feb;38(2 Spec No.):294-308

Division of Evidence Based Medicine, Klinik für Dermatologie, Charité-Universitätsmedizin Berlin, Campus Charit Mitte, Charitéplatz 1, Berlin, Germany.

Background: Twenty grading scales have been developed to assess age-related facial changes. Until now, the validity with regard to the patient's actual age and the clinical importance of combined measurement tools to describe facial aging was unclear.

Objective: To investigate the reliability and validity of a total face score and three global face assessment scales for estimated age, estimated aesthetic treatment effort, and signs of aging in the facial units. Read More

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February 2012

Facelift and patterns of lymphatic drainage.

Aesthet Surg J 2012 Jan;32(1):39-45

The University of Texas Southwestern Medical Center, Dallas,TX, USA.

Background: It has commonly been assumed that deeper facelift dissection causes greater and more prolonged swelling.

Objectives: In this preliminary report, the authors compare the lymphatic reconstitution after multiple techniques of rhytidectomy by means of dynamic lymphoscintigraphy.

Methods: Three patients were enrolled in this study. Read More

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January 2012

Contemporary deep plane rhytidectomy.

Facial Plast Surg 2011 Feb 18;27(1):124-32. Epub 2011 Jan 18.

Department of Otolaryngology-Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, University of California-Davis, Sacramento, California, USA.

Many face-lift variations have been described including short skin flap, long skin flap, superficial musculoaponeurotic system flap, deep plane, composite flap, and subperiosteal face-lifts. Each technique offers its set of advantages and disadvantages. Theoretical benefits include a more optimal treatment of the midface, nasolabial fold, and periorbital area. Read More

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February 2011

Modified deep plane rhytidectomy with a lateral approach to the neck: an alternative to submental incision and dissection.

Plast Reconstr Surg 2011 Jan;127(1):357-370

Chicago, Ill. From the Division of Plastic and Reconstructive Surgery, Feinberg School of Medicine, Northwestern University.

Background: A "composite" type subplatysmal dissection with lateral advancement of the platysma-skin flap to lift the neck during rhytidectomy has been advocated by several authors. However, the limited subplatysmal dissection described in these techniques restricts the degree of mobilization of the flap. Therefore, most investigators rely on supraplatysmal dissection and medial plication of the platysma to achieve satisfactory cervical contours, especially in patients with difficult necks. Read More

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January 2011

Composite platysmaplasty and closed percutaneous platysma myotomy: a simple way to treat deformities of the neck caused by aging.

Raul Gonzalez

Aesthet Surg J 2009 Sep-Oct;29(5):344-54

UNAERP Medicine School, Ribeirao Preto, Brazil.

Background: Although cervical skin and platysmal laxity are more apparent at the lateral area of the neck, the reported treatments focus on performing plication on the anterior midline or releasing the muscle's lateral border and tractioning it back. Because of the ineffectiveness of such methods in solving more complex cases, surgeons have been trying more efficient procedures that are also riskier and could therefore increase the complication rate.

Objective: The author describes a simple method for treating cervical laxity using composite platysmaplasty. Read More

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