67 results match your criteria Facelift Composite


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

Aesthet Surg J 2018 Nov;38(12):1284-1288

Plastic surgeon in private practice in Singapore.

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http://dx.doi.org/10.1093/asj/sjy184DOI Listing
November 2018
4 Reads
2.030 Impact Factor

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

Aesthet Surg J 2018 Nov 12. Epub 2018 Nov 12.

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 is to describe a novel composite, rotational flap modification of an extended deep-plane rhytidectomy. Read More

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https://academic.oup.com/asj/advance-article/doi/10.1093/asj
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http://dx.doi.org/10.1093/asj/sjy292DOI Listing
November 2018
17 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S00941298183005
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http://dx.doi.org/10.1016/j.cps.2018.06.007DOI Listing
October 2018
19 Reads

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

Authors:
Marc Mani

Aesthet Surg J 2018 Nov;38(12):1280-1283

private practice in Beverly Hills, CA.

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https://academic.oup.com/asj/article/38/12/1280/4970561
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http://dx.doi.org/10.1093/asj/sjy076DOI Listing
November 2018
4 Reads

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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https://academic.oup.com/asj/article/38/12/1269/4917328
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http://dx.doi.org/10.1093/asj/sjy062DOI Listing
November 2018
14 Reads

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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http://dx.doi.org/10.1016/j.jcms.2016.01.022DOI Listing
July 2016
33 Reads

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

Authors:
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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http://dx.doi.org/10.1093/asj/sjw057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127415PMC
June 2016
7 Reads

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

Authors:
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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http://dx.doi.org/10.1093/asj/sjw019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4827656PMC
May 2016
18 Reads

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

Authors:
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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http://dx.doi.org/10.1093/asj/sjv250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4827655PMC
May 2016
1 Read

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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http://dx.doi.org/10.1055/s-0034-1383556DOI Listing
August 2014
9 Reads

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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http://dx.doi.org/10.1016/j.fsc.2014.01.006DOI Listing
May 2014
8 Reads

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

The Center for Facial Plastic Surgery, 109 Mathoura Road, Toorak, Victoria 3142, Australia.

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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http://dx.doi.org/10.1097/PRS.0b013e3182910b70DOI Listing
July 2013
14 Reads

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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http://dx.doi.org/10.1016/j.joms.2013.02.001DOI Listing
August 2013
7 Reads

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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http://dx.doi.org/10.1016/j.ijom.2012.09.016DOI Listing
December 2012
1 Read

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.

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http://dx.doi.org/10.1097/PRS.0b013e318258f363DOI Listing
August 2012
1 Read

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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http://dx.doi.org/10.1097/SCS.0b013e31824190c3DOI Listing
March 2012
3 Reads

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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http://dx.doi.org/10.1111/j.1524-4725.2011.02252.xDOI Listing
February 2012
23 Reads

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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https://academic.oup.com/asj/article/32/1/39/210354
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http://dx.doi.org/10.1177/1090820X11430683DOI Listing
January 2012
4 Reads

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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http://dx.doi.org/10.1055/s-0030-1270426DOI Listing
February 2011
4 Reads

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):357-70

Division of Plastic and Reconstructive Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Ill. 60611, USA.

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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http://dx.doi.org/10.1097/PRS.0b013e3181f95d66DOI Listing
January 2011
9 Reads

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

Authors:
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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http://dx.doi.org/10.1016/j.asj.2009.04.007DOI Listing
March 2010
11 Reads

The arterial and venous anatomies of the lateral face lift flap and the SMAS.

Plast Reconstr Surg 2009 May;123(5):1581-7

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9132, USA.

Background: Studies of the vascularity of the superficial musculoaponeurotic system (SMAS) have suggested that it is an avascular layer. Clinical studies, however, suggest that the incidence of skin slough is higher in subcutaneous face lift dissections. A reappraisal of the arterial and venous supply of the face lift flap using sequential dye injection studies and three-dimensional computed tomographic imaging techniques may help to further elucidate the mechanisms behind vascular complications following rhytidectomy. Read More

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http://dx.doi.org/10.1097/PRS.0b013e3181a20544DOI Listing
May 2009
2 Reads

Identical twin face lifts with differing techniques: a 10-year follow-up.

Plast Reconstr Surg 2009 Mar;123(3):1025-33; discussion 1034-6

California Pacific Medical Center Davies Campus, San Francisco, Calif. 94114, USA.

To evaluate the efficacies of four different surgical techniques in facial rejuvenation, two sets of identical twins were operated on by four different surgeons. The technical approaches to facial rejuvenation included lateral superficial musculoaponeurotic system (SMAS)-ectomy with extensive skin undermining, composite rhytidectomy, SMAS-platysma flap with bidirectional lift, and endoscopic midface lift with an open anterior platysmaplasty. All patients were photographed by an independent surgeon at 1, 6, and 10 years postoperatively. Read More

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http://dx.doi.org/10.1097/PRS.0b013e31819ba755DOI Listing
March 2009
12 Reads

Update on minimally invasive face lift technique.

Aesthet Surg J 2008 Jan-Feb;28(1):51-61; discussion 62

Private practice in Mexico City, Mexico, USA.

Background: The aging face is characterized by loss of skin elasticity, fat resorption, loss of muscle tone and volume, and loss of bone volume. Restorative procedures should be based on the condition of the soft tissues and the relationship between these tissues and the existing skeletal volume and can be performed through open, endoscopic, or minimally invasive approaches.

Objective: A minimally invasive approach to the face lift is presented, updated with useful details that the author has incorporated into his clinical technique on the basis of 15 years of experience. Read More

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http://dx.doi.org/10.1016/j.asj.2007.06.006DOI Listing
February 2009
3 Reads

Extended superficial musculaponeurotic system dissection and composite rhytidectomy.

Clin Plast Surg 2008 Oct;35(4):607-22, vii

Southwestern Medical School, University of Texas, 9301 North Central Expressway, Suite 551, Dallas, TX 75231, USA.

The composite facelift represents a comprehensive technique for facial rejuvenation with tissue repositioning of essentially every deep structure of the aging face, addressing the neck, lower face, mid face/lower eyelid junction, and forehead. The superior lateral vector of the lower face is "balanced" with a superior medial vector of the cheek and lower eyelid region. Patients who have stigmata of a previous facelift, such as the lateral sweep and hollow eyes, may be corrected with the composite facelift. Read More

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http://dx.doi.org/10.1016/j.cps.2008.05.014DOI Listing
October 2008
5 Reads

Is there an ideal facelift procedure?

Curr Opin Otolaryngol Head Neck Surg 2007 Aug;15(4):244-52

UMDNJ, Newark, New Jersey, USA.

Purpose Of Review: The following article provides a review of the major rhytidectomy techniques in practice today. The current literature on facelift techniques generally details surgeons' methods and operative results. A few studies have compared results between methods. Read More

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http://dx.doi.org/10.1097/MOO.0b013e32825a678dDOI Listing
August 2007
4 Reads

Subperiosteal deep plane rhytidectomy: the composite midface lift.

Facial Plast Surg 2005 Nov;21(4):286-95

Northeastern Ohio University College of Medicine, Rootstown, Ohio, USA.

Techniques for facial rejuvenation have long involved specific remedies for each facial segment affected by the aging process. Traditional facial rejuvenation techniques have addressed the anterior neck and platysma complex as well as the acquired jaw deformity. These techniques often left the nasolabial complex and the "infraorbital hollow" un-addressed. Read More

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http://dx.doi.org/10.1055/s-2006-939507DOI Listing
November 2005
7 Reads

Combined arcus marginalis release, preseptal orbicularis muscle sling, and SOOF plication for midfacial rejuvenation.

Aesthetic Plast Surg 2004 Jul-Aug;28(4):197-202

Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon.

Improvements have been made throughout the history of medicine, causing physicians to abandon a technique or medications clearly shown to be suboptimal. Unfortunately, this has not happened with rejuvenative surgery. Conventional lower eyelid procedures continue to include removal of orbital fat in most cases, and facelift procedures remain primarily a lateral vector pull. Read More

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http://link.springer.com/content/pdf/10.1007/s00266-004-4019
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http://link.springer.com/10.1007/s00266-004-4019-0
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http://dx.doi.org/10.1007/s00266-004-4019-0DOI Listing
March 2005
8 Reads

The role of the septal reset in creating a youthful eyelid-cheek complex in facial rejuvenation.

Authors:
Sam T Hamra

Plast Reconstr Surg 2004 Jun;113(7):2124-41; discussion 2142-4

Resetting of the septum orbitale over the orbital rim, or "septal reset," is the latest step in achieving periorbital rejuvenation in composite rhytidectomy. The first significant step was the addition of orbicularis repositioning to conventional lateral vector deep plane rhytidectomy, followed by orbital fat preservation using the arcus marginalis release and fat transposition over the orbital rim. Those early procedures have been further refined to include the zygomaticus muscles with the orbicularis oculi in the composite flap, or zygorbicular cheek flap, and a septal reset. Read More

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http://pdfs.journals.lww.com/plasreconsurg/2004/06000/The_Ro
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June 2004
5 Reads

Endoscopic-assisted face lift: review of 200 cases.

Ann Plast Surg 2004 Mar;52(3):234-9

Division of Plastic Surgery, Emory University School of Medicine, Atlanta, GA, USA.

The use of endoscopic techniques in facial esthetic surgery has gained increasing popularity in the last decade. Endoscopic forehead rejuvenation became a reliable technique and an attractive option for both the surgeon and the patient. The use of the endoscope in face and neck lift surgery did not gain the same popularity, as explained by the relative few indications for this technique. Read More

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March 2004
7 Reads

A method of augmenting the cheek area through SMAS, subSMAS, and subcutaneous tissue recruitment during facelift surgery.

Authors:
Dominic A Brandy

Dermatol Surg 2003 Mar;29(3):265-71

Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Background: As the human face ages, there is a depletion of fat that occurs in the submalar region. Various techniques such as fat transfers, fillers, alloplastic implants, and composite rhytidectomies have been used to augment this area in the past.

Objective: To describe a technique that augments the submalar areas during facelift surgery without the use of fat transfer, fillers, alloplastic implants, or a risky composite technique. Read More

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March 2003
5 Reads

Reinforced orbitotemporal lift: contribution to midface rejuvenation.

Plast Reconstr Surg 2003 Feb;111(2):869-77; discussion 878-9

Plastic Surgery Service at Santa Casa, Misericórdia de Guaratinguetá Hospital, São Paulo, Brazil.

The changes in the aging face occur from progressive ptosis of the skin, fat, and muscle, in conjunction with bone absorption and cartilage atrophy. In the orbital region, hollowness and compartmentalization occur. Conventional face lift procedures correct only the skin flaccidity, and superficial musculoaponeurotic system techniques reposition the skin and platysma without repositioning the middle third of the face, creating an artificial jawline. Read More

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http://dx.doi.org/10.1097/01.PRS.0000040463.55022.FEDOI Listing
February 2003
1 Read

Transblepharoplasty endoscopic subperiosteal midface lift.

Authors:
John V Williams

Plast Reconstr Surg 2002 Dec;110(7):1769-75; discussion 1776-7

Aesthetic Surgery Center, 8777 Bluebonnet Boulevard, Baton Rouge, Louisiana 70810-2818, USA.

The use of endoscopy in the transblepharoplasty midface lift is essential for preventing the complications of facial nerve injury and bleeding. Complete observation allows precise dissection and release of all structures in the composite flap. This technique fully preserves the zygo-orbicular nerve plexus and prevents denervation of the orbicularis oculi and zygomaticus muscles. Read More

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http://dx.doi.org/10.1097/01.PRS.0000033904.92556.BADOI Listing
December 2002
3 Reads

Biomechanical and viscoelastic properties of skin, SMAS, and composite flaps as they pertain to rhytidectomy.

Plast Reconstr Surg 2002 Aug;110(2):590-8; discussion 599-600

Division of Plastic and Reconstructive Surgery, Department of Biomaterial Research, Northwestern University Medical School, Chicago, Ill., USA.

Previous studies have focused on biomechanical and viscoelastic properties of the superficial musculoaponeurotic system (SMAS) flap and the skin flap lifted in traditional rhytidectomy procedures. The authors compared these two layers with the composite rhytidectomy flap to explain their clinical observations that the composite dissection allows greater tension and lateral pull to be placed on the facial and cervical flaps, with less long-term stress-relaxation and tissue creep. Eight fresh cadavers were dissected by elevating flaps on one side of the face and neck as skin and SMAS flaps and on the other side as a standard composite rhytidectomy flap. Read More

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http://www.drthomasmustoe.com/downloads/Properties-of-Flaps.
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August 2002
4 Reads

[Composite rhytidectomy a modo Hamra].

Khirurgiia (Sofiia) 2001 ;57(5-6):26-8

Conventional face lift techniques--subcutaneous, SMAS have always incorporated unopposed lateral vector tissue advancement. In case they are not adequately repositioned, the tissues of the lower eyelid and upper cheek continue to age, which create a "lateral sweep" of the lower face as those malar soft tissues descend at a more rapid rate than the repositioned SMAS. Hollow eyes and the lateral sweep could be prevented with a rhytidectomy technique that includes orbicularis repositioning and preservation of the lower eyelid fat with an arcus marginalis release or with the composite rhytidectomy of Hamra. Read More

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August 2002
5 Reads

Prevention and correction of the "face-lifted" appearance.

Authors:
S T Hamra

Facial Plast Surg 2000 ;16(3):215-29

Division of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

In spite of the increasing demand and popularity of facial rejuvenation procedures, there has been little real change of traditional techniques over the past few decades. Face lifts continue to be lateral vector techniques, whether skin lifts, superficial musculoaponeurotic system (SMAS) lifts, or deep plane malar fat maneuvers are done. Lower eyelid procedures continue to include removal of orbital fat in most cases. Read More

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http://dx.doi.org/10.1055/s-2000-13592DOI Listing
February 2002
2 Reads

Correcting the unfavorable outcomes following facelift surgery.

Authors:
S T Hamra

Clin Plast Surg 2001 Oct;28(4):621-38

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

Although many deformities formerly observed after rhinoplasties are seen less because of more sophisticated techniques, the deformities that may occur after conventional facelifts seem to be growing by epidemic numbers because of the widespread and almost universal use of conventional facelift and blepharoplasty techniques. The unfortunate appearance of these patients is the fault neither of the surgeon nor of the patient, but frequently both get blamed. Throughout every step of the history of medicine there have been improvements made that cause the physician to abandon a technique or medications that clearly are shown to be suboptimal. Read More

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October 2001
3 Reads

Facial autologous soft-tissue contouring by adjunction of tissue cocktail injection (micrograft and minigraft mixture of dermis, fascia, and fat).

Authors:
O O Erol

Plast Reconstr Surg 2000 Nov;106(6):1375-87; discussion 1388-9

Department of Plastic and Reconstructive Surgery at Kadir Has University, and Vehbi Koç Foundation American Hospital of Istanbul, Turkey.

Facial aging is both a physiologic and anatomic process characterized by changes in the skin and supporting tissues. The aging process produces an outer envelope that gradually expands while its contents gradually involute and the underlying structure weakens. This process results in an excess of skin that tends to create folds, grooves, and deepening furrows. Read More

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November 2000
3 Reads

Minimal-incision endoscopic face-lift.

Arch Facial Plast Surg 2000 Oct-Dec;2(4):274-8

Premier Image Cosmetic and Laser Surgery PA, 4553 N Shallowford Rd, Suite 20-B, Atlanta, GA 30338, USA.

Ptosis of the midfacial tissues with resultant deepening of the melolabial folds, vertical lengthening of the lower eyelid, and depression of the oral commissure are generally only slightly improved with traditional superficial musculoaponeurotic system (SMAS) suspension or rhytidectomy techniques. Subperiosteal, deep plane, and composite rhytidectomies have evolved in an attempt to rejuvenate these areas. This article reviews a series of patients who underwent an endoscopic subperiosteal face-lift either as an isolated procedure or in conjunction with an SMAS rhytidectomy. Read More

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December 2000
5 Reads

Review of closed dressings after laser resurfacing.

Dermatol Surg 2000 Jun;26(6):562-71

Facial Plastic and Reconstructive Surgery, Division of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, Stanford, California, USA.

Background: Laser skin resurfacing has become an accepted technique for the treatment of facial rhytides and associated solar skin damage. Achieving a successful result is directly related to proper postoperative wound care during the reepithelialization process. There are open and closed approaches to the treatment of the post-laser resurfacing patient with distinct advantages and disadvantages. Read More

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June 2000
5 Reads

[Multiple-layer composite rhytidectomy].

Authors:
X Wang Z Chen M Chen

Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi 1998 May;14(3):173-5

Department of Plastic Surgery, Beijing Hospital of the Ministry of Health.

Objective: The multiple-layer composite rhytidectomy is presented in this paper for correction of the facial aging.

Methods: The operative procedures include multiple-layer dissection, suspension reconstruction of the zygomatic ligament, and thinning of the zygoma.

Results: The method has produced a good result in 28 patients since 1993. Read More

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May 1998
2 Reads

[Endoscopic forehead, face and neck lifting].

Authors:
W Mühlbauer

Handchir Mikrochir Plast Chir 1999 Jan;31(1):37-41

Abteilung für Plastische, Wiederherstellende und Handchirurgie, Zentrum für Schwerbrandverletzte, Krankenhaus München-Bogen-hausen.

Endoscopic procedures are a more recent addition to the techniques of aesthetic plastic surgery of the head and neck region. This "buttonhole surgery" appeals particularly to patients and plastic surgeons alike because of tiny scars and reduced morbidity. The technique of video-assisted surgery with monitor control must be learned and practiced in teaching courses with hands-on experience in the laboratory. Read More

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http://dx.doi.org/10.1055/s-1999-13489DOI Listing
January 1999
7 Reads

The zygorbicular dissection in composite rhytidectomy: an ideal midface plane.

Authors:
S T Hamra

Plast Reconstr Surg 1998 Oct;102(5):1646-57

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

Composite rhytidectomy added the repositioning of the orbicularis oculi muscle to the deep plane face lift to achieve a more harmonious appearance of the face by adding periorbital rejuvenation. By not separating the orbicularis oculi from the zygomaticus minor and by extending the dissection under medial portions of the zygomaticus major and minor muscles, a more significant improvement in composite rhytidectomy can now be achieved. A thin nonrestrictive mesentery between the deep plane face lift dissection and the zygorbicular dissection still allows vertical movement of the composite face lift flap without interrupting the intimate relationship between the platysma, cheek fat, and orbicularis oculi muscle. Read More

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http://pdfs.journals.lww.com/plasreconsurg/1998/10000/The_Zy
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October 1998
3 Reads

Composite rhytidectomy.

Plast Reconstr Surg 1998 Apr;101(5):1411-3

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April 1998
4 Reads

[Concepts in face lifts. State of the art].

Authors:
J F Hönig

Mund Kiefer Gesichtschir 1997 May;1 Suppl 1:S21-6

Abteilung für Mund-, Kiefer- und Gesichtschirurgie, Universität, Göttingen.

A brief review of the historical development of face-lifting is followed by a description of the current concepts in order to judge the general aspects of modern face-lifting better; composite face-lifting, sub-SMAS, extended face-lifting, video-assisted face-lifting, and laser-assisted skin rejuvenation are discussed in detail. The results show that there is no such thing as a general face-lift. Each of the methods described has a specific indication, but no longer under the general outdated aspect that the face should be "tightened". Read More

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May 1997
8 Reads

Composite rhytidectomy. Finesse and refinements in technique.

Authors:
S T Hamra

Clin Plast Surg 1997 Apr;24(2):337-46

Division of Plastic Surgery, University of Texas Southwestern Medical School, Dallas, USA.

These points of refinement in flap dissection and closure may be helpful to surgeons who perform composite rhytidectomy. My experience in the past 6 years of doing exclusively composite facelifts is that there is consistent improvement in results with shorter and shorter convalescent times after using these refinements. When a primary rhytidectomy is performed, repositioning of all the deep elements of the aging face is necessary to maintain harmony in facial rejuvenation (Fig. Read More

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April 1997
6 Reads

Aesthetic and safety considerations in composite rhytidectomy: a review of 145 patients over a 3-year period.

Authors:
D P Pina

Plast Reconstr Surg 1997 Mar;99(3):670-8; discussion 679

Since Hamra described the composite rhytidectomy, many surgeons have been using the technique, but few have published their experience concerning this subject. A series of 145 composite rhytidectomies (133 primary, 8 secondary, and 4 tertiary) in a 3-year period (from September of 1992 through October of 1995), including male and female patients ranging in age from 40 to 74 years, was selected to evaluate my personal approach to the technique, the indications, the aesthetic results, and complications. In this series, all patients were operated on by the same surgeon, from incision to complete closure of the skin. Read More

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March 1997
1 Read

Is there a difference? A prospective study comparing lateral and standard SMAS face lifts with extended SMAS and composite rhytidectomies.

Plast Reconstr Surg 1996 Dec;98(7):1135-43; discussion 1144-7

Department of Plastic and Reconstructive Surgery, Manhattan Eye, Ear and Throat Hospital, New York, N.Y., USA.

Presented is a prospective study comparing limited SMAS (lateral SMASectomy), conventional SMAS, extended SMAS, and composite rhytidectomies. Randomized patients received either a limited SMAS or conventional SMAS face lift on one side and an extended SMAS or composite rhytidectomy on the other. All procedures were performed at Manhattan Eye, Ear and Throat Hospital in accordance with their well-defined surgical descriptions. Read More

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December 1996
8 Reads

Superficial liposculpture of the face and neck.

Authors:
W A Goodstein

Plast Reconstr Surg 1996 Nov;98(6):988-96; discussion 997-8

Division of Plastic Surgery at the U.C.L.A. School of Medicine, USA.

The capacity to benefit from scar tissue retraction beneath the intact skin has been demonstrated by a number of surgeons working in the superficial fat over the past decade. The efforts to achieve predictable skin retraction have largely overlooked the importance of the mechanism of removal of fat, focusing instead on the depth of the surgical plane and the vacuum pressure utilized. Recent experimental and clinical evidence has pointed out the role of mechanical dislodgment as a key factor in fat removal. Read More

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November 1996
2 Reads

Deep-plane/composite rhytidectomy.

Facial Plast Surg 1996 Jul;12(3):231-9

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http://dx.doi.org/10.1055/s-0028-1082414DOI Listing
July 1996
2 Reads