47 results match your criteria Facelift Extended SMAS

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Face and Neck Lifting After Weight Loss.

Clin Plast Surg 2019 Jan 23;46(1):105-114. Epub 2018 Oct 23.

Department of Plastic Surgery, Dermatology and Plastic Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue, A60, Cleveland, OH 44195, USA.

After massive weight loss, deflation of the tissues and loss of skin elasticity in the face and neck can result in the appearance of accelerated facial aging. Surgical facial rejuvenation can be successfully performed with several modifications. Proper preoperative counseling and expectation management regarding staged or ancillary procedures is recommended. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.012DOI Listing
January 2019
16 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

The Extended Purse-String Rhytidectomy.

Facial Plast Surg 2018 Oct 18;34(5):539-544. Epub 2018 Sep 18.

Atlanta MediSpa and Surgery Center, L.L.C., Marietta and Atlanta, Georgia.

Facelifts remain a critical part of a facial plastic surgeon's cosmetic practice. Techniques continue to evolve, while at the same time patients demand less invasive procedures with less morbidity. The authors present a facelift plication technique using wide purse-string sutures placed into the superficial musculoaponeurotic system and platysma. Read More

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http://dx.doi.org/10.1055/s-0038-1672176DOI Listing
October 2018
1 Read

The Utility of Superficial Musculoaponeurotic System Flaps in Facelift Procedures.

Authors:
Lynn A Damitz

Ann Plast Surg 2018 Jun;80(6S Suppl 6):S406-S409

From the Division of Plastic Surgery, Department of Surgery, University of North Carolina, Chapel Hill, NC.

Facelift techniques widely vary with known individual surgeon modifications of and preference for particular techniques. This article provides an overview of the history of the superficial musculoaponeurotic system (SMAS), the changes of aging related to the soft tissues of the face, and the history of facelift procedures, including techniques to address the SMAS. In addition, a description of past studies and literature analyzing techniques of facelift procedures, safety of interventions involving the SMAS, low, extended, and high SMAS techniques, and evaluations of patient satisfaction with facelift outcomes including use of the FACE-Q are discussed. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001344DOI Listing
June 2018
3 Reads

Asian Facial Rejuvenation by Extended SMAS Facelift Technique.

Authors:
Joo Heon Lee

Plast Reconstr Surg Glob Open 2017 Feb 24;5(2):e1244. Epub 2017 Feb 24.

April 31 Plastic Surgery Clinic, Seoul, Korea.

Supplemental Digital Content is available in the text. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001244DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340494PMC
February 2017
7 Reads

Long-term Analysis of Lip Augmentation With Superficial Musculoaponeurotic System (SMAS) Tissue Transfer Following Biplanar Extended SMAS Rhytidectomy.

JAMA Facial Plast Surg 2017 Jan;19(1):34-39

Department of Family Medicine, University of Mississippi Medical Center, Jackson.

Importance: To our knowledge, long-term, objective results of lip augmentation using superficial musculoaponeurotic system (SMAS) tissue transfer beyond 1 year have not been previously described.

Objective: To evaluate the efficacy, longevity, and safety of lip augmentation using SMAS tissue transfer.

Design, Setting, And Participants: A retrospective single-blind cohort study was designed to evaluate all patients who underwent surgical lip augmentation using SMAS following rhytidectomy between January 1, 2000, and November, 16, 2015, at a private facial plastic surgery practice in Birmingham, Alabama. Read More

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http://dx.doi.org/10.1001/jamafacial.2016.1145DOI Listing
January 2017
6 Reads

Rhytidectomy Utilizing Bidirectional Self-Retaining Sutures: The Bidirectional Lift and the Extended Bidirectional Lift.

Aesthet Surg J 2015 Aug;35(6):633-43

Dr O'Connell is a Senior Attending Plastic and Reconstructive Surgeon, Bridgeport Hospital, Bridgeport, CT.

This article outlines a new rhytidectomy technique, developed by the author, that utilizes bidirectional self-retaining (barbed) sutures for superficial musculoaponeurotic system (SMAS) plication and, in some instances, skin closures. Short-scar and traditional versions of the procedure are presented, and the history of purse-string SMAS plication and the advantages for using self-retaining sutures in this application are discussed. Read More

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http://dx.doi.org/10.1093/asj/sju167DOI Listing
August 2015
2 Reads

Facelift combined with simultaneous fractional laser resurfacing: Outcomes and complications.

J Plast Reconstr Aesthet Surg 2015 Oct 19;68(10):1332-7. Epub 2015 Jun 19.

Struck Plastic Surgery, 3301 El Camino Real, #200, Atherton, CA 94027, USA. Electronic address:

Background: The combination of simultaneous surgical rhytidectomy with ablative resurfacing has been a controversial procedure due to the concern of postoperative wound healing. Traditional ablative resurfacing lasers are believed to have higher rates of complications, leading to delayed healing and skin flap loss when combined with face rhytidectomy surgeries. With the development of fractionated ablative laser therapy, there has been increased interest in combining these two procedures. Read More

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http://dx.doi.org/10.1016/j.bjps.2015.06.001DOI Listing
October 2015
4 Reads

Management of the midface during rhytidectomy.

Facial Plast Surg Clin North Am 2015 May;23(2):195-200

Mittelman Plastic Surgery Center, 810 Altos Oaks Drive, Los Altos, CA 94085, USA.

No nonsurgical technique can come close to rejuvenating the face like a cervicofacial rhytidectomy. However, one of the most difficult areas to improve during a facelift is the midface. The multi-vector high superficial musculoaponeurotic system (SMAS) facelift and extended lower-lid midface lift are important techniques that can adequately address the midface during rhytidectomy. Read More

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http://dx.doi.org/10.1016/j.fsc.2015.01.005DOI Listing
May 2015
15 Reads

Face-Lift Satisfaction Using the FACE-Q.

Plast Reconstr Surg 2015 Aug;136(2):239-42

New York, N.Y. From New York University Institute of Reconstructive Plastic Surgery and Lenox Hill Hospital Plastic Surgery.

Background: Face lifting is one of the most common operative procedures for facial aging and perhaps the procedure most synonymous with plastic surgery in the minds of the lay public, but no verifiable documentation of patient satisfaction exists in the literature. This study is the first to examine face-lift outcomes and patient satisfaction using a validated questionnaire.

Methods: One hundred five patients undergoing a face lift performed by the senior author (C. Read More

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http://dx.doi.org/10.1097/PRS.0000000000001412DOI Listing
August 2015
10 Reads
1 Citation
2.993 Impact Factor

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

The extended SMAS approach to neck rejuvenation.

Facial Plast Surg Clin North Am 2014 May;22(2):253-68

Meridian Plastic Surgery Center, 170 West 106th Street, Indianapolis, IN 46290-0970, USA.

Jowling, submental lipoptosis, and platysmal banding can affect self-image and reduce quality of life, leading one to seek facial and neck rejuvenation. With realistic expectations, a facelift can provide the desired improvement in appearance and sense of well-being. Before any intervention, a detailed history, focused examination, communication of expected outcomes with the assistance of preoperative digital imaging, and discussion of perioperative instructions are of utmost importance. Read More

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http://dx.doi.org/10.1016/j.fsc.2014.01.010DOI Listing
May 2014
9 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

Anatomical comparison of platysmal tightening using superficial musculoaponeurotic system plication vs deep-plane rhytidectomy techniques.

Arch Facial Plast Surg 2011 Nov-Dec;13(6):395-7

Division of Facial Plastic and Reconstructive Surgery, North Shore University Hospital, Long Island Jewish Medical Center, New Hyde Park, USA.

Objectives: To quantify the degree of submental platysmal tightening that can be accomplished with superficial musculoaponeurotic system (SMAS) plication vs deep-plane rhytidectomy techniques in a cadaveric anatomical study to help dictate the need for midline platysmal surgery when using different rhytidectomy techniques.

Methods: The lateral distraction of the medial edge of the platysma muscle was measured during tightening of the SMAS-platysmal complex on 5 cadaver heads. The measurements were taken after the following 3 rhytidectomy techniques: SMAS-platysmal plication, deep-plane rhytidectomy, and extended deep-plane rhytidectomy continuing the flap below the angle of the mandible into the neck with release of the platysma and cervical retaining ligaments. Read More

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http://dx.doi.org/10.1001/archfacial.2011.69DOI Listing
April 2012
9 Reads

The minimal access deep plane extended vertical facelift.

Aesthet Surg J 2011 Nov;31(8):874-90

North Shore University Hospital, Manhasset, New York, USA.

Background: Modern facelift techniques have benefited from a "repopularization" of shorter incisions, limited skin elevation, and more limited dissection of the superficial musculoaponeurotic system (SMAS) and platysma in order to shorten postoperative recovery times and reduce surgical risks for patients.

Objectives: The authors describe their minimal access deep plane extended (MADE) vertical vector facelift, which is a hybrid technique combining the optimal features of the deep plane facelift and the short scar, minimal access cranial suspension (MACS) lift.

Methods: The authors retrospectively reviewed the case records of 181 patients who underwent facelift procedures performed by the senior author (AAJ) during a two year period between March 2008 and March 2010. Read More

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http://asj.oxfordjournals.org/content/asj/31/8/874.full.pdf
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http://asj.oxfordjournals.org/cgi/doi/10.1177/1090820X114241
Publisher Site
http://dx.doi.org/10.1177/1090820X11424146DOI Listing
November 2011
32 Reads

The S-Plus lift: a short-scar, long-flap rhytidectomy.

Ann R Coll Surg Engl 2010 Oct 29;92(7):577-82. Epub 2010 Jun 29.

Division of Otolaryngology-Head & Neck Surgery, The George Washington University, Washington, DC, USA; Center for Cosmetic Surgery & The Washington Hair Institute, Washington, DC, USA.

Introduction: As rhytidectomy is one of the most elective surgical procedures, there is a strong trend toward less aggressive operative techniques. The authors introduce the S-Plus lift, a 'long flap' superficial musculo-aponeurotic system (SMAS) imbrication technique that diminishes risks, decreases recovery time, and yields long-lasting results.

Patients And Methods: This paper describes a novel approach to mid-facial rejuvenation that combines the limited incision of an S-lift with two SMASectomies, purse-string suture imbrication of the extended supraplatysmal plane (ESP) and SMAS, and malar soft tissue suspension. Read More

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http://dx.doi.org/10.1308/003588410X12699663904439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229348PMC
October 2010
25 Reads

Rejuvenation of the aging neck: current principles, techniques, and newer modifications.

Facial Plast Surg Clin North Am 2009 Nov;17(4):589-601, vi-vii

Washington University, St Louis, USA. [corrected]

Aesthetic improvement of the neck and cervicomental angle remains one of the most challenging aspects of surgical facial rejuvenation. Individuals may become dissatisfied with the appearance of their neck because of changes in skin quality, submental fat, and muscle tone or anatomic position related to aging, weight gain, weight loss, sun damage, and other causes. To achieve the patient's desired result, surgeons use various techniques, either in isolation or in combination. Read More

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http://dx.doi.org/10.1016/j.fsc.2009.07.001DOI Listing
November 2009
5 Reads

Five-year retrospective review of the extended SMAS: critical landmarks and technical refinements.

Authors:
John T Lindsey

Ann Plast Surg 2009 May;62(5):492-6

Plastic and Reconstructive Surgery, Metairie, LA, USA.

The beneficial effects of SMAS flap manipulation have been clearly demonstrated for the neck and jowls; however, safe limits of subplatysmal dissection in the neck have not been established, and recommendations vary widely. Sixty patients undergoing rhytidectomy with an extended SMAS flap were retrospectively reviewed over a 5-year period. Five critical landmarks for extended SMAS flap dissection were marked preoperatively and confirmed intraoperatively. Read More

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http://dx.doi.org/10.1097/SAP.0b013e31818ba77dDOI Listing
May 2009
3 Reads

Limited vs extended face-lift techniques: objective analysis of intraoperative results.

Arch Facial Plast Surg 2006 May-Jun;8(3):186-90

Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.

Objective: To compare the intraoperative outcomes of superficial musculoaponeurotic system plication, imbrication, and deep-plane rhytidectomy techniques.

Methods: Thirty-two patients undergoing primary deep-plane rhytidectomy participated. Each hemiface in all patients was submitted sequentially to 3 progressively more extensive lifts, while other variables were standardized. Read More

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http://dx.doi.org/10.1001/archfaci.8.3.186DOI Listing
October 2006
3 Reads

[Current aspects of facelift surgery].

Authors:
H-G Bull

Hautarzt 2004 Jul;55(7):637-45

Klinik MKG-Chirurgie/Plastische Operationen, St. Josefshospital, Krefeld.

In the care of the aging face, the facelift procedure occupies the center of attention. Of the many techniques available, only a few procedures fulfill the justifiable expectations that both patient and physician should have of such an intervention to reach the four goals of a facelift operation: create a natural, nonoperated appearance, obtain long-term durability, ensure a minimal complication rate, and restore or maintain a youthful vibrancy. This can especially be achieved with the so-called super-extended face lift with SMAS dissection, rotation, and refixation. Read More

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http://dx.doi.org/10.1007/s00105-004-0757-9DOI Listing
July 2004
4 Reads

The extended SMAS facelift: identifying the lateral zygomaticus major muscle border using bony anatomic landmarks.

Ann Plast Surg 2004 Apr;52(4):353-7

Plastic Surgery Institute, Southern Illinois University, School of Medicine, Springfield, IL 62794, USA.

Extended superficial musculoaponeurotic system (SMAS) rhytidectomy has been advocated for improving nasolabial fold prominence. Extended subSMAS dissection requires release of the SMAS typically from the upper lateral border of the zygomaticus major muscle and continued dissection medial to this muscle. This maneuver releases the zygomatic retaining ligaments and achieves more effective mobilization and elevation of the ptotic malar soft tissues, resulting in more dramatic effacement of the nasolabial crease. Read More

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April 2004
9 Reads

Reducing complications in cervicofacial rhytidectomy by tumescent infiltration: a comparative trial evaluating 678 consecutive face lifts.

Plast Reconstr Surg 2004 Jan;113(1):398-403

Tumescent infiltration has been widely used in body-contouring surgery to facilitate dissection and reduce blood loss. Although its use in facial surgery has been suggested, there are presently no comparative studies of its efficacy. The aim of this study was to investigate the long-term outcome in a large series of consecutive face lifts performed with and without tumescence. Read More

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http://dx.doi.org/10.1097/01.PRS.0000097297.89136.8DDOI Listing
January 2004
3 Reads

Superextended facelift: our experience with 3,580 patients.

Ann Plast Surg 2004 Jan;52(1):8-14

Plastic and Reconstructive Surgery Department and the Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Our experience using the "Superextended" facelifting technique in 3580 female patients is presented herein. The technique is based on extended subcutaneous facial and neck skin undermining, extensive superficial musculoaponeurotic system (SMAS) dissection with low lateral freeing of the edges of the platysma muscle. The trimmed SMAS is fixed to the adjacent tissues, enabling the upward and lateral pulling effect of the facial structures. Read More

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http://dx.doi.org/10.1097/01.sap.0000096453.37913.3eDOI Listing
January 2004
1 Read

Rejuvenation of the nasolabial complex with inverted triangular-shaped SMAS grafts.

Aesthetic Plast Surg 2003 May-Jun;27(3):172-7. Epub 2003 Aug 21.

Introduction: One of the most challenging aspects of facial aesthetic surgery is rejuvenating the nasolabial complex. Unfortunately, the numerous existing techniques for this purpose have shown limited results due to factors such as long-term unpredictability, modest levels of improvement, and failure to address all of the anatomic/biomechanical alterations simultaneously. In this paper we present our experience with the use of inverted triangular SMAS grafts to rejuvenate the nasolabial complex, analyzing important aspects of surgical technique, indications, and outcomes. Read More

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http://dx.doi.org/10.1007/s00266-003-0008-yDOI Listing
March 2004
3 Reads
1.190 Impact Factor

Short-scar face lift with extended SMAS platysma dissection and lifting and limited skin undermining.

Authors:
Hamid Massiha

Plast Reconstr Surg 2003 Aug;112(2):663-9

Department of Plastic Surgery, Louisiana State University Medical Center, Metarie, USA.

In the past 8 years, short-scar cervicofacial rhytidectomy has been used with great success and a high level of patient satisfaction. The operation involves limited incisions in the sideburn and preauricular areas, extending just around the fold of the ear lobule. Extensive undermining of the superficial musculoaponeurotic system (SMAS)/platysma is performed, and lifting of the face and neck is performed mainly at this level. Read More

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http://dx.doi.org/10.1097/01.PRS.0000070945.35807.CEDOI Listing
August 2003
2 Reads

Minimal access cranial suspension lift: a modified S-lift.

Plast Reconstr Surg 2002 May;109(6):2074-86

Coupure Centre for Plastic Surgery, Gent, Belgium.

There is a strong trend at hand toward less dramatic facial rejuvenation surgery. Most of the authors' patients want a cosmetic improvement but not at the cost of prolonged disfigurement or a high risk of complications. In 1999, a very simple but effective rhytidectomy technique, termed an S-lift, was described in the literature and was adopted by the authors. Read More

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May 2002
5 Reads

Achieving the "natural look" in rhytidectomy.

Authors:
S W Perkins

Facial Plast Surg 2000 ;16(3):269-82

Meridien Plastic Surgery Center, Dept of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Achieving the "natural look" in rhytidectomy and satisfying my aging face patient population are the primary motivating factors that have guided me to develop my personal philosophy and technique for facelifting. The following article will consider how to achieve the "natural look" in rhytidectomy using the modified deep plane-extended SMAS rhytidectomy technique, including the benefits derived from this efficient face-lift technique. It outlines how to give proper individualized consideration to each patient from the initial consultation, through the preoperative evaluation and workup, as well as anatomic indications for the type of face lift to be performed. Read More

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http://dx.doi.org/10.1055/s-2000-13596DOI Listing
February 2002
2 Reads

A 5-year study of the transmalar subperiosteal midface lift with minimal skin and superficial musculoaponeurotic system dissection: a durable, natural-appearing lift with less surgery and recovery time.

Authors:
E R Finger

Plast Reconstr Surg 2001 Apr;107(5):1273-83; discussion 1284

5356 Reynolds Street, Suite 505, Savannah, GA 31405, USA.

The transmalar subperiosteal midface lift is a simple, direct-approach procedure to be performed with a meloplasty. The entry into the midface is at the site of maximum suture tension, which allows for more elevation. The skin is elevated enough to expose the entry site, which is on the zygoma just cephalad to the origins of the zygomaticus muscles. Read More

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April 2001
2 Reads

[The modification of combined subperiosteal facelift].

Authors:
X Zheng Y Song

Zhonghua Zheng Xing Wai Ke Za Zhi 2000 Nov;16(6):336-9

Plastic Surgery Hospital of CAMS, Beijing 100041, China.

Objective: To reposit all the elements of the aging midface more adequately.

Methods: We have performed combined facelift on 100 patients using extended subperiosteal dissection or sub-SMAS and subcutaneous dissection. In particular, the zygomatic arch subperiosteal dissect releases the attachment of the zygomatic ligament. Read More

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November 2000
1 Read

[Anatomical basis for the newly developed facelifting].

Authors:
Y Song Y Xie Y Yan

Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi 1999 Jan;15(1):5-7

Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100041.

Objective: To investigate the relationship between the SMAS and the facial nerve divisions in the cheek area.

Method: We dissected 12 cadaver heads(24 sides).

Results: 1. Read More

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January 1999
1 Read

Refinements in face lifting: enhanced facial contour using vicryl mesh incorporated into SMAS fixation.

Plast Reconstr Surg 2000 Jan;105(1):290-301

As we have gained experience with the extended superficial musculoaponeurotic system (SMAS) technique in face lifting, refinements in our procedure have led to increased consistency in results. The important factors that have led to our technical modifications include the following: (1) the significance of the retaining ligaments of the midface, which determine the degree of surgical dissection required for both skin and SMAS in rhytidectomy; (2) the changes in facial shape that occur with aging, secondary to the descent of facial fat; (3) the possibility of modifying facial shape through the repositioning of facial fat in an extended SMAS face lift; (4) the improved longevity of result to be obtained by incorporating Vicryl mesh into SMAS fixation; (5) the artistic nuances of incision design that help to minimize scar perceptibility. Understanding these factors enables surgeons to use the extended SMAS technique successfully with more challenging cases, enhancing facial appearance while minimizing signs that the patient has undergone a surgical procedure. Read More

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January 2000
3 Reads

The mini rhytidectomy.

Authors:
F Duminy D A Hudson

Aesthetic Plast Surg 1997 Jul-Aug;21(4):280-4

Groote Schuur Hospital, Cape Town, South Africa.

A technique is described in which superficial musculoaponeurotic system (SMAS) is plicated from the deep temporal fascia above the zygoma to the level of the earlobe. This procedure requires only an extended preauricular incision. The neck is dealt with by liposuction. Read More

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September 1997
8 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

The extended browlift.

Authors:
H S Byrd

Clin Plast Surg 1997 Apr;24(2):233-46

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

The endoscopic extended browlift adds to the armamentarium against aging, serving as an excellent stand alone procedure in the younger patient in whom the lower face and neck are minimally affected. It accomplishes a repositioning of the orbital portion of the orbicularis oculi muscle thereby minimizing resection of eyelid skin, muscle, and fat. Its lift of the malar pad causes a pleasing transition onto the upper face blending nicely into the lower face. Read More

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April 1997
10 Reads

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

[Extended SMAS dissection as a modified approach to rhytidectomy].

Authors:
H Ma G H Muller

Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi 1996 Nov;12(6):444-6

Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing.

A variation of the SMAS technique is introduced. During the operation, the SMAS was treated in two parts. The fixed part that is closely attached to the preparotid fascia is on the pre-auricle area. Read More

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November 1996
2 Reads

Suprafibromuscular facelifting with periosteal suspension of the superficial musculoaponeurotic system and fat pad of Bichat rotation. Tightening the net.

Authors:
G S Keller J Cray

Arch Otolaryngol Head Neck Surg 1996 Apr;122(4):377-84

Keller Facial Plastic Surgery Clinic, Santa Barbara, Calif., USA.

Objective: To design a facelifting technique that improves the safety of the facial nerve in extended facelifting; improves methods of fixation of the elevation of the nasolabial folds, the melolabial folds, the corner of the mouth and the malar fat pad; and augments the malar and submalar areas without implants.

Design: After a retrospective review of previous modified "composite" technique facelift results (307 patients over 4 years), a suprafibromuscular facelift technique was evolved through 22 fresh cadaver dissections. The resulting technique was applied to 73 patients, 61 females and 12 males, who were followed up for 6 to 18 months. Read More

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April 1996
38 Reads

[Deep vertical facelift. Development of a concept].

Authors:
A Bonnefon

Ann Chir Plast Esthet 1995 Aug;40(4):327-39

An optimal result with minimal surgery is expected by our patients. The concept of deep layer rhytidectomy is based on the simultaneous vertical "en bloc" elevation of skin, fat and the SMAS. The extended undermining of this facial flap is so effective that it allows a simplification of the lifting reducing the subcutaneous undermining to one fourth of what is achieved in a standard face lift, eliminating the anterior platysmaraphy. Read More

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August 1995
3 Reads

A comparison of flap vascular anatomy in three rhytidectomy techniques.

Plast Reconstr Surg 1995 Apr;95(4):683-90

Division of Plastic and Reconstructive Surgery, Johns Hopkins Medical Institution, Baltimore, Md.

The purpose of this study was to examine differences in blood supply to facial flaps created by three rhyditectomy techniques. The techniques chosen for comparison included a two-layer technique, consisting of separate subcutaneous and extended submuscular aponeurotic system (SMAS) dissections, the Composite dissections as described by Hamra, and a subperiosteal dissection. Six cadavers were injected with lead oxide before dissection, and eight were injected after dissection. Read More

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April 1995
2 Reads

Extended sub-SMAS dissection and cheek elevation.

Authors:
B C Mendelson

Clin Plast Surg 1995 Apr;22(2):325-39

Avenue Hospital, Melbourne, Australia.

The extended SMAS facelift techniques gave plastic surgeons the ability to correct the nasolabial fold and medial cheek. Retensioning the SMAS transmits the benefit through the multilinked fibrous support system of the facial soft tissues. The effect is to provide a recontouring of the ptotic soft tissues, which fills out the cheeks as it reduces nasolabial fullness. Read More

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April 1995
3 Reads

Extended SMAS dissection as an approach to midface rejuvenation.

Clin Plast Surg 1995 Apr;22(2):295-311

Department of Plastic Surgery, University of Miami School of Medicine, Florida, USA.

The objective in rhytidectomy is to rejuvenate and improve facial appearance. To obtain consistent results, facelifting should be approached not just as a tightening or lifting procedure but also as a reconstructive procedure, reversing the anatomic changes that occur in aging. The ability to bring aesthetic harmony back into the aging face requires the blending of surgical technique, anatomic knowledge, and artistic sensitivity to individualize the surgical approach for a given patient. Read More

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April 1995
1 Read

The superficial-plane rhytidectomy revisited.

Plast Reconstr Surg 1994 Jun;93(7):1392-403; discussion 1404-5

Complex procedures for aesthetic facial rejuvenation, such as the deep-plane, extended SMAS, subperiosteal, and composite rhytidectomies, have received significant attention in the literature and at recent symposia. Young plastic surgeons striving to achieve excellent results may be intimidated by these procedures and find them difficult to perform. We suggest a renewed interest in the superficial plane approach for facial rejuvenation. Read More

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June 1994
6 Reads

The multiplane face lift.

Plast Reconstr Surg 1994 Jan;93(1):78-85

Clinical Program in Plastic Surgery, Georgetown University Hospital, Washington, D.C.

The technique and experience with multiplane face lift are reviewed. The multiplane face lift can be thought of as a fourth-generation rhytidectomy, combining features of the extended SMAS and deep-plane face lifts. It is felt that this lift can more adequately address the problem of the nasolabial fold and can effect better bidirectional pull. Read More

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January 1994
3 Reads

Anatomical basis for a safe and easier approach to composite rhytidectomy.

Aesthetic Plast Surg 1994 ;18(4):387-91

The authors present the anatomical findings that have made an easier approach to composite rhytidectomy possible. The lower lateral border of the orbicularis oculi muscle (OOM) overlies the zygomaticus major muscle (ZMM), the upper third of which tightly adheres to the malar bone. The OOM is innervated throughout over its circumference by a plexus of small facial nerve branches. Read More

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February 1995
1 Read

Correction of the nasolabial fold: extended SMAS dissection with periosteal fixation.

Authors:
B C Mendelson

Plast Reconstr Surg 1992 May;89(5):822-33; discussion 834-5

The nasolabial fold has defied satisfactory correction with the face lift operation. This is despite variations of the SMAS technique over the last 20 years. In this study, the nasolabial fold is shown to be part of the overall aging deformity that affects the cheek and perioral region. Read More

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May 1992
3 Reads

The deep-plane rhytidectomy.

Authors:
S T Hamra

Plast Reconstr Surg 1990 Jul;86(1):53-61; discussion 62-3

Division of Plastic Surgery, University of Texas Health Sciences Center, Dallas.

Lack of significant improvement in redundant nasolabial folds has always been a problem in face lift procedures. The purpose of this paper is to describe the deep-plane rhytidectomy, which addresses the problem of laxity of the nasolabial folds. A Skoog-type sub-SMAS dissection is extended superiorly over the zygomaticus muscles and medially beyond the nasolabial folds, totally releasing all SMAS attachments and creating a thick musculocutaneous flap comprised of skin, all subcutaneous fat of the cheeks, and the platysma muscle. Read More

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July 1990
4 Reads

Platysma-SMAS cervicofacial rhytidoplasty.

Authors:
S J Aston

Clin Plast Surg 1983 Jul;10(3):507-20

Platysma/SMAS procedures are still in the evaluation stage. Two significant advantages of the platysma/SMAS procedures are that (1) an operation can be designed for the individual patient's anatomic deformity, and (2) some problems that were little corrected by conventional facelifting techniques are improved dramatically with the extended procedures. Read More

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July 1983
2 Reads
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