170 results match your criteria Rhytidectomy Deep Plane Facelift


Facial Plast Surg 2022 May 11. Epub 2022 May 11.

Private Practice, Meridian Plastic Surgery Center, Indianapolis, United States.

Over the past four decades, the senior author has evolved and perfected his preferred method for face and neck lifting, the extended SMAS deep plane rhytidectomy and submentoplasty. With this procedure, the SMAS layer is addressed both in the face and neck, repositioning the tissues in a superior and posterior vector and creating a sling in the cervicomental area. Outcomes have proven to be both successful and long-lasting. Read More

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

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

Kansas City University.

Strong command of facial anatomy is paramount for all facelift surgeons. A comprehensive understanding of how aging impacts facial anatomy is equally important for effective preoperative evaluation of the patient undergoing facelift surgery. Key areas for assessment of the patient undergoing facelift surgery are addressed. Read More

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The Effect of a Novel Platysma Hammock Flap During Extended Deep Plane Facelift on the Signs of Aging in the Neck.

Aesthet Surg J 2022 Apr 21. Epub 2022 Apr 21.

Department of Otorhinolaryngology/Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Montefiore Medical Center, Bronx, NY.

Background: Aging changes in the neck including platysmal banding, skin laxity and submandibular gland visibility have a high degree of recurrence after rhytidectomy.

Objectives: To assess the long term (>12 month) improvement in platysma banding (PB), skin laxity (SL) and submandibular gland visibility (SGV) with addition of aplatysmal hammock flap to the extended deep plane facelift. To assess long term (>12 month) post-operative patient satisfaction. Read More

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Neck Contouring and Rejuvenation in Male Patients Through Dual-Plane Reduction Neck Lift.

Clin Plast Surg 2022 Apr;49(2):257-273

Clinica Gomez Bravo, Claudio Coello 76, Madrid 28001, Spain. Electronic address:

Specialists seeking successful outcomes in male facial rejuvenation must be able to achieve adequate results in the neck and submental region to provide their patients with balanced and natural results. A thorough understanding of male jawline and neck surface aesthetics is described and its relevance to perceived age, attractiveness, and body mass index is presented. The neck lift technique described is based on the pursuit of 2 distinct objectives managed independently: (1) Volume contouring or reduction, which is mainly accomplished in the deep structures of the neck beneath the platysma and (2) superficial redraping, which consists of the management of the platysma itself and of the overlying subcutaneous fat and skin under minimal tension. Read More

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Quantifying Skin Removal During a Face-lift: Does the Approach Matter?

Dermatol Surg 2022 03;48(3):304-309

Duke University Eye Center, Durham, North Carolina.

Background: The purpose of this study was to measure the amount of skin removed around the ears during a face-lift procedure. The secondary metric assessed skin removal comparing different face-lift techniques of SMASectomy versus deep plane approach and lastly comparing with and without midline corset platysmaplasty (MCP).

Methods: One hundred fifty consecutive face-lift patients were measured for skin removal at 3 cardinal locations in the postauricular, preauricular, and temple regions. Read More

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Asian Facelift.

Facial Plast Surg Clin North Am 2021 Nov;29(4):471-486

18-6, Ihyeon-RO 29BEON-GIL, Giheung-gu, Yongin-si, Gyeonggi-do, Republic of Korea.

The Asian facelift requires an adaptation of current techniques to achieve a desired aesthetic outcome. Cultural differences and differences in anthropomorphologic features alter a patient's vision of beauty and youthfulness. Rejuvenation of the aging Asian face mandates a set of strategies, including understanding cultural aspects of Asian patients, anatomy of Asian patients, and appropriate techniques based on these cultural and anatomic considerations. Read More

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November 2021

Review of Dr. Andrew Jacono's Book: The Art and Science of Extended Deep Plane Face Lifting and Complementary Facial Rejuvenation Procedures.

Ozcan Cakmak

Facial Plast Surg 2022 04 24;38(2):218. Epub 2021 Sep 24.

Department of Facial Plastic Surgery, FACEISTANBUL Private Practice Bağdat Caddesi Vezir Sokak No: 4/2 Caddebostan, Istanbul, Turkey.

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Guided suturing technique for midface lift through minimal temporal incision.

J Plast Reconstr Aesthet Surg 2021 Nov 8;74(11):3108-3113. Epub 2021 Apr 8.

Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Science, 33 Badachu Rd., Shijingshan District, Beijing 100144, China. Electronic address:

Background: The midface has been a difficult zone to manage in rejuvenating surgeries. The major challenge for midface lift is to achieve extensive dissection and elevate the composite tissues en bloc through minimal incisions.

Methods: In a total of 22 composite midface lift cases, a titanium cable wire was used. Read More

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November 2021

Defining a Safe Corridor of Cervical Branch Preservation in Lateral Platysmaplasty Surgery During Facial Rejuvenation Surgery.

Aesthet Surg J 2022 01;42(2):NP93-NP98

Dr Saleh is a consultant plastic surgeon, Newcastle Hospitals NHS Foundation Trust, Newcastle-upon-Tyne,UK.

Background: During rhytidectomies, the cervical branch of the facial nerve (CBFN) can easily be encountered, and potentially injured, when releasing the cervical retaining ligaments in the lateral neck. This nerve has been shown to occasionally co-innervate the depressor anguli oris muscle, and damage to it can thus potentially compromise outcomes with a postoperative palsy.

Objectives: The authors sought to examine the lateral cervical anatomy specific to the CBFN to ascertain if the position of the nerve can be predicted, thereby enhancing safety of the platysmal flap separation and dissection from this lateral zone of adhesion. Read More

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January 2022

Deep Plane Reconstruction of a Large Forehead Defect and Modified Browlift With Browpexy.

Dermatol Surg 2022 May 9;48(5):567-569. Epub 2021 Mar 9.

University of Washington School of Medicine, Spokane, Washington.

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Conservative Neck Rejuvenation.

Facial Plast Surg 2021 Jun 11;37(3):400-406. Epub 2021 Mar 11.

Istituto di Clinica Chirurgica, Università Cattolica del Sacro Cuore, Rome, Italy.

In the field of facial rejuvenation, among the recurrent topics, one of the most discussed is the return to less invasive techniques. Lower face rejuvenation is best achieved acting on the platysma muscle. Many techniques are used and usually include platysma section, redundancy reduction, and redraping. Read More

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The Selection of Facelift Approach on the Basis of Midfacial Ptosis.

Facial Plast Surg 2021 Apr 3;37(2):149-159. Epub 2021 Mar 3.

PLLC-Otolaryngology Division, Rochester, New York.

Facial aging in the midface has been described to encompass both soft tissue descent and volumetric change. Currently, there is no established and widely accepted grading system for midfacial ptosis. We propose a simplified grading system for midfacial ptosis ranging from mild to severe in terms of Grades I through III. Read More

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Plastic Surgery and Cosmetic Procedures: Facial Plastic Surgery.

FP Essent 2020 Oct;497:18-22

Washington Hospital Healthcare System, 2000 Mowry Ave, Fremont, CA 94538.

Facial plastic surgery deals with improving the form, function, and appearance of the face. Blepharoplasty (ie, eyelid surgery) is the most commonly performed surgical procedure in men and women 65 years and older. It has been shown to be effective for improving attractiveness and eyelid function (eg, improved visual field). Read More

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October 2020

Facelift Surgery: History, Anatomy, and Recent Innovations.

Facial Plast Surg 2021 Oct 16;37(5):556-563. 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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October 2021

Ultrasound-Assisted Rhytidectomy Including Sub-SMAS and Subplatysmal Dissection.

Facial Plast Surg 2020 Aug 31;36(4):430-446. Epub 2020 Aug 31.

Department of Facial Plastic Surgery, Gentile Facial Plastic and Aesthetic Laser Center, Youngstown, Ohio.

Energy-based facelifting techniques are a relatively new genre of surgery. In this approach, the energy-based device-whether laser, radiofrequency plasma, or ultrasound-can be used in the superficial plane to elevate skin flaps before performing more traditional facelift techniques involving the superficial musculoaponeurotic system (SMAS) or platysma. The initial reports of utilizing fiber lasers as surgical tools date back to approximately 2007 and initial lipolasers were used to elevate facial skin flaps. Read More

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The Facelift in South American Patients.

Facial Plast Surg 2020 Aug 31;36(4):416-429. Epub 2020 Aug 31.

Department of Otolaryngology and Facial Plastic Surgery, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil.

South America is a vast territory; its people were made from all parts of the world. The miscegenation made a unique population comprised of Indian, Asian, Caucasian, African, Mestizo, Mulatto, and Zambo. The South American patients tend to have a wider face with a skin-soft tissue envelope (S-STE) that is thicker, heavier, and has less elasticity than the Caucasian patient. Read More

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Short or Minimum Incision Deep Plane/Extended Deep Plane Facelift/Rhytidectomy.

Facial Plast Surg 2020 Aug 31;36(4):376-385. Epub 2020 Aug 31.

Perth Facial Plastic and Cosmetic Surgery, Perth, Western Australia, Australia.

The mini facelift, often referred to as short scar or minimum incision facelift or rhytidectomy, is a facial rejuvenation procedure with limited incisions. It aims to lift and tighten the superficial musculo-aponeurotic system to restore the lower midface and the mandibular contour, thus eliminating undesirable jowls. By performing the deep plane or extended deep plane facelift with short incisions, the midface and upper neck can also be improved without the full face and neck incisions as in the typical rhytidectomy. Read More

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Deep-Plane Approach to the Vertical Platysma Advancement: Technical Modifications and Nuances over 25 Years.

Facial Plast Surg 2020 Aug 31;36(4):358-375. Epub 2020 Aug 31.

Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.

In this article, we will provide the reader with the anatomical and embryologic evidence supporting the use of the deep-plane approach in rhytidectomy and insight into the evolution of the technique into the vertical platysma advancement. The original description of the deep-plane technique only described a basic superficial muscular aponeurotic system dissection in the midface with the ability to use tension on the flap without aesthetic consequences. This plane of dissection provides additional advantages not previously described, including access to deeper anatomical structures such as the buccal fat pad, and allows in vivo assessment and treatment of jowling. Read More

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Demystifying the Deep Plane Facelift: What It Means Anatomically and Why It Works.

Facial Plast Surg 2020 Aug 31;36(4):351-357. Epub 2020 Aug 31.

Department of Clinical Anatomy, Mayo Clinic, Rochester, Minnesota.

Rhytidectomy is a common procedure performed by facial plastic surgeons. On well-selected patients, rhytidectomy rejuvenates the aging face by repositioning soft tissues and improving facial shape. The fundamental goal of rhytidectomy, or facelift surgery, is to provide a more youthful facial appearance by elevating soft tissues that often descend with aging. Read More

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The "Segmental SMAS Model": A Didactic Concept of Face and Neck Lift Anatomy.

Facial Plast Surg 2020 Aug 31;36(4):337-350. Epub 2020 Aug 31.

Bezirkskrankenhaus Lienz, Lienz, Austria.

Profound understanding of the surgical anatomy of the face and neck is the key to successful face lift surgery. The "Segmental SMAS Model" presented herein is the result of a decade-long effort in teaching fellows a logical and coherent anatomic model of face lift anatomy. The superficial musculo-aponeurotic system (SMAS) consists of segments with distinct surgical characteristics. Read More

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Subbrow Lift Using Frontalis Sling to Correct Lateral Orbital Laxity.

Aesthetic Plast Surg 2020 12 24;44(6):2119-2126. Epub 2020 Jul 24.

UCLA School of Medicine, Los Angeles, CA, USA.

Background: In order to correct upper lid laxity, upper blepharoplasty, subbrow excision, and forehead lift have been utilized. Our newly developed subbrow excision attaches the orbicularis oculi muscle to the frontalis muscle. This improves the longevity of the result without inhibiting the gliding plane of the periorbita. Read More

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December 2020

First Bite Syndrome Following Rhytidectomy: A Case Report.

Ann Otol Rhinol Laryngol 2021 Jan 21;130(1):92-97. Epub 2020 Jun 21.

Otolaryngology-Head and Neck Surgery, Madigan Army Medical Center, Tacoma, WA, USA.

Background: First bite syndrome (FBS) is a known complication of parotid gland resection, parapharyngeal space dissection, and cervical sympathetic chain injury. It can be described as severe cramping or spasms in the parotid region triggered by the first bite of a meal, with the pain lessening during each subsequent bite. Although dissection for a rhytidectomy is in the vicinity of the parotid parenchyma, face-lift is not typically characterized as a procedure that can lead to FBS. Read More

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January 2021

Local Anesthetic Facelift.

Facial Plast Surg Clin North Am 2020 Aug;28(3):409-418

Department of Otolaryngology, Oschsner Medical Center, 1514 Jefferson Highway, New Orleans, LA 70121, USA.

A thorough medical history is critical in patient selection for local anesthesia facelifting. Patients with no prior issues with dental procedures and no history of significant anxiety are better candidates. Simplifying local anesthesia mixtures and using dilute concentrations will minimize dosing errors and decrease risk of local anesthesia toxicity. Read More

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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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From the Deep-Plane Rhytidectomy to the Vertical Platysma Advancement.

Facial Plast Surg Clin North Am 2020 Aug 6;28(3):311-330. Epub 2020 May 6.

Department of Otolaryngology, Rutgers New Jersey Medical School, Newark, NJ, USA; Section of Facial Plastics and Reconstructive Surgery, Department of Otolaryngology, St. Barnabas Medical Center-RWJ Health, Livingston, NJ, USA.

This article provides the facial plastic surgeon with anatomic and embryologic evidence supporting use of the deep-plane technique and understanding the evolution of the technique over decades to the vertical platysma advancement for optimal treatment of facial aging. The original description of the deep-plane rhytidectomy described a basic subsuperficial musculoaponeurotic system dissection in the midface. This plane of dissection provides access to deeper anatomic structures. Read More

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Extended Superficial Musculoaponeurotic System Flap Rhytidectomy.

Facial Plast Surg Clin North Am 2020 Aug 6;28(3):303-310. Epub 2020 May 6.

The Piazza Center for Plastic Surgery, 7900 FM Road 1826, Building 2, Suite 206, Austin, TX 78739, USA.

The various rhytidectomy techniques share a common goal of safe repositioning of the facial soft tissues with a lasting effect. This article reviews rhytidectomy approaches and the current methods and practice patterns of the senior author. It includes a discussion of the extended sub-superficial musculoaponeurotic system rhytidectomy technique, which, in the opinion of the senior author, offers the best result with respect to neck rhytids, cervicomental angle and jawline definition, and improvement of jowling. 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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Less Invasive Superficial Musculoaponeurotic System Approaches in Rhytidectomy: How, When, and Why.

Facial Plast Surg Clin North Am 2020 Aug 29;28(3):273-283. Epub 2020 Apr 29.

Holzapfel & Lied Plastic Surgery, Cincinnati, OH, USA. Electronic address:

As a facial plastic surgeon gains experience, further improvements can be gained with more aggressive surgery, but complications begin to occur when more aggressive measures are undertaken. Therefore, the ideal technique is one that maximizes rejuvenation while minimizing adverse effects. The senior author has found that the aggressive techniques in the region of the neck have improved dramatically the overall initial and long-term results for the neck portion of the rhytidectomy. Read More

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Effect of Local Tranexamic Acid on Hemostasis in Rhytidectomy.

Facial Plast Surg Aesthet Med 2020 May/Jun;22(3):195-199. Epub 2020 Mar 31.

Department of Otolaryngology, Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA.

Hematoma is the most common complication in rhytidectomy. Tranexamic acid (TXA) is an antifibrinolytic that may be a useful tool to reduce intraoperative bleeding and postoperative hematoma risk. To determine whether local TXA reduces intraoperative bleeding and postoperative drain output in rhytidectomy. Read More

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November 2020