130 results match your criteria Rhytidectomy Deep Plane Facelift


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

Aesthet Surg J 2019 Feb 15. Epub 2019 Feb 15.

North Charleston, SC.

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

Objective: Aggregate and summarize data on complications among different SMAS facelift techniques. 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/sjz045DOI Listing
February 2019
8 Reads

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
30 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
30 Reads

Hyo-neck lift evolution: Neck lift with fixation of the platysma to the deep cervical fascia.

Authors:
C Le Louarn

Ann Chir Plast Esthet 2018 Apr 29;63(2):164-174. Epub 2017 Dec 29.

59, rue Spontini, 75116 Paris, France. Electronic address:

The aim of any neck lift obviously includes the restoration of an acute cervicomandibular angle. The hyo neck lift, first published in April 2016, did proposed a new technique of neck lift with a sub-cutaneous neck dissection and suture of the platysma to the hyoid through this sub-cutaneous approach. To enhance results and efficiency, a major change of the hyo neck lift technique is herein proposed with a vertical anterior sub-platysmal and sub-platysmal fat opening and dissection. Read More

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http://dx.doi.org/10.1016/j.anplas.2017.11.005DOI Listing
April 2018
4 Reads

Is deep plane rhytidectomy superior to superficial musculoaponeurotic system plication facelift?

Laryngoscope 2018 08 27;128(8):1741-1742. Epub 2017 Dec 27.

Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Boston University School of Medicine, Boston, Massachusetts, U.S.A.

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http://dx.doi.org/10.1002/lary.27065DOI Listing
August 2018
7 Reads

Neck Contouring Without Rhytidectomy in the Presence of Excess Skin.

Aesthetic Plast Surg 2018 Apr 22;42(2):464-470. Epub 2017 Dec 22.

, Cleveland, OH, 44124, USA.

Background: Patients with severe neck skin laxity due to excess submental adipose tissue have required either standard rhytidectomy or direct excision of neck skin with Z-plasty and submental lipectomy. Our recent experiences with four patients who declined cervicofacial rhytidectomy demonstrate that submental lipectomy and platysmarrhaphy appear to obtain sufficient improvement.

Methods: The submental area, submandibular area, and lateral neck are injected with local anesthetic. Read More

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http://dx.doi.org/10.1007/s00266-017-1030-9DOI Listing
April 2018
7 Reads

[Aging prevention, new surgical techniques and future options for facial rejuvenation].

Authors:
C Le Louarn

Ann Chir Plast Esthet 2017 Oct 15;62(5):592-597. Epub 2017 Sep 15.

59, rue Spontini, 75116 Paris, France. Electronic address:

Prevention of aging is mainly obtained through appropriate health practices, modulated by the genetic causes of aging. Causes of facial structural aging include gravity, volume loss, contraction of the mimic muscles and obviously biological aging of tissues. Among the very numerous new surgical technique of facial rejuvenation, we could point out: for the frontal region, obviously we are focus on the endoscopic and non-endoscopic frontal lifts. Read More

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http://dx.doi.org/10.1016/j.anplas.2017.07.014DOI Listing
October 2017
10 Reads

Temple and Postauricular Dissection in Face and Neck Lift Surgery.

Arch Plast Surg 2017 Jul 15;44(4):261-265. Epub 2017 Jul 15.

The Chula Soft Cadaver Surgical Training Center and Department of Anatomy, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

Periauricular paresthesia may afflict patients for a significant amount of time after facelift surgery. When performing face and neck lift surgery, temple and posterior auricular flap dissection is undertaken directly over the auriculotemporal, great auricular, and lesser occipital nerve territory, leading to potential damage to the nerve. The auriculotemporal nerve remains under the thin outer superficial fascia just below the subfollicular level in the prehelical area. Read More

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http://www.e-aps.org/journal/view.php?doi=10.5999/aps.2017.4
Publisher Site
http://dx.doi.org/10.5999/aps.2017.44.4.261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5533050PMC
July 2017
41 Reads

Characterization of the Cervical Retaining Ligaments During Subplatysmal Facelift Dissection and its Implications.

Aesthet Surg J 2017 05;37(5):495-501

Assistant Professor of Facial Plastic Surgery, Albert Einstein College of Medicine, New York, NY, USA.

Background: The cervical retaining ligaments anchor the platysma and soft tissues of the neck to the deep cervical fascia and deeper skeletal structures. The cervical retaining ligaments tether the platysma and prohibit free mobilization and redraping of the platysma muscle in rhytidectomy. This ligament system has previously been described in the literature only qualitatively. Read More

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http://dx.doi.org/10.1093/asj/sjw274DOI Listing
May 2017
15 Reads

A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle.

Arch Plast Surg 2016 Jul 20;43(4):374-8. Epub 2016 Jul 20.

Department of Otolaryngology, Temple University Hospital, Philadelphia, PA, USA.; Fox Chase Cancer Center, Philadelphia, PA, USA.

Submandibular gland ptosis is a common impediment to obtaining superior surgical aesthetic results in neck lift surgery. Techniques for suspending the submandibular gland have been proposed, but these procedures have the drawbacks of disturbing the floor of the mouth mucosa and periosteum. We present an approach of submandibular gland suspension for the treatment of gland ptosis by employing a platysma and hyoid bone fascia cradle. Read More

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http://dx.doi.org/10.5999/aps.2016.43.4.374DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4959982PMC
July 2016
10 Reads

Facelift Controversies.

Facial Plast Surg Clin North Am 2016 Aug 10;24(3):357-66. Epub 2016 Jun 10.

Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, SJH01, Portland, OR 97239, USA. Electronic address:

The primary purpose of the facelift is to restore the shape, volume, and contours of the youthful face. Facelift surgery has evolved over the years into multiple techniques to accomplish the same results. This article discusses the common controversies in facelift surgery and evaluates the best available evidence to guide surgical decision-making. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10647406163002
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http://dx.doi.org/10.1016/j.fsc.2016.03.012DOI Listing
August 2016
3 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
10 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
2 Reads

The immediate use of a silicone sheet wound closure device in scar reduction and prevention.

Ear Nose Throat J 2016 Feb;95(2):E27-33

Corresponding author: James R. Parry, DO, Parker Skin and Aesthetic Clinic, 3733 Park East Dr., Ste. 104, Beachwood, OH 44122. Email: From Parker Skin and Aesthetic Clinic, Beachwood, Ohio (Dr. Parry); Jacobi Medical Center of the Albert Einstein College of Medicine, Bronx, N.Y. (Dr. Stupak); and Hedgewood Surgical Center, New Orleans (Dr. Johnson). The study described in this article was conducted at Hedgewood Surgical Center.

Silicone has been used successfully postoperatively in the prevention of hypertrophic and other types of adverse scars. The Silicone Suture Plate (SSP) is a new, minimally invasive, sterile wound closure device that is applied intraoperatively to prevent adverse scarring. The SSP device permits immediate application of silicone while concurrently allowing for wound-edge tension redistribution. Read More

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http://dx.doi.org/10.1177/014556131609500209DOI Listing
February 2016
7 Reads

The Effect of Midline Corset Platysmaplasty on Degree of Face-lift Flap Elevation During Concomitant Deep-Plane Face-lift: A Cadaveric Study.

JAMA Facial Plast Surg 2016 May;18(3):183-7

New York Center for Facial Plastic and Laser Surgery, New York.

Importance: The evaluation of the effects of midline platysmaplasty concomitant with rhytidectomy.

Objective: To determine whether midline platysmaplasty limits the degree of lift during deep-plane face-lift.

Design, Setting, And Participants: Deep-plane rhytidectomy was performed on 10 cadaveric hemifaces. Read More

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http://archfaci.jamanetwork.com/article.aspx?doi=10.1001/jam
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http://dx.doi.org/10.1001/jamafacial.2015.2174DOI Listing
May 2016
14 Reads

Cervicofacial Rhytidectomy After Radiotherapy for Head and Neck Tumors.

JAMA Facial Plast Surg 2016 Jan-Feb;18(1):9-14

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor.

Importance: Whether undergoing cervicofacial rhytidectomy after radiotherapy for tumors of the head and neck is associated with increased complication rates and therefore should be avoided remains unknown.

Objective: To evaluate complication rates in patients who have undergone cervicofacial rhytidectomy after radiotherapy for head and neck tumors and compare these rates with those of patients who have not undergone radiotherapy.

Design, Setting, And Participants: Retrospective review of the medical records of 16 patients who underwent cervicofacial rhytidectomy after completing radiotherapy for head and neck tumors and those of 16 age-matched control participants who did not undergo radiotherapy. Read More

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http://dx.doi.org/10.1001/jamafacial.2015.1316DOI Listing
May 2016
11 Reads

Response to "Does a Deep-Plane Facelift Restore Malar Volume Without Simultaneous Fat Injection?".

Aesthet Surg J 2016 Jan 15;36(1):NP32-6. Epub 2015 Sep 15.

Dr Jacono is the Section Head of Facial Plastic and Reconstructive Surgery, North Shore University Hospital, Manhasset, New York; Assistant Clinical Professor, Division of Facial Plastic and Reconstructive Surgery, New York Eye and Ear Infirmary, New York, New York; and Assistant Clinical Professor, Department of Otorhinolaryngology - Head and Neck Surgery, Albert Einstein College of Medicine, New York, New York. Dr Malone is a fellow at a private facial plastic surgery practice in New York, New York.

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http://dx.doi.org/10.1093/asj/sjv169DOI Listing
January 2016
4 Reads

Does a Deep-Plane Facelift Restore Malar Volume Without Simultaneous Fat Injection?

Authors:
Eric Swanson

Aesthet Surg J 2016 Jan 15;36(1):NP30-1. Epub 2015 Sep 15.

Dr Swanson is a plastic surgeon in private practice in Leawood, KS.

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http://dx.doi.org/10.1093/asj/sjv141DOI Listing
January 2016
1 Read

Three-Dimensional Analysis of Long-Term Midface Volume Change After Vertical Vector Deep-Plane Rhytidectomy.

Aesthet Surg J 2015 Jul 10;35(5):491-503. Epub 2015 Jun 10.

Dr Jacono is the Section Head of Facial Plastic and Reconstructive Surgery at North Shore University Hospital, Manhasset, New York; and Assistant Clinical Professor in the Division of Facial Plastic and Reconstructive Surgery, New York Eye and Ear Infirmary, New York and the Albert Einstein College of Medicine, New York. Dr Malone is a Resident at New York Presbyterian Hospital, Department of Otolaryngology-Head and Neck Surgery, Columbia and Cornell Universities, New York. Dr Talei is a Fellow at a private facial plastic surgery practice in New York.

Background: Facial aging is a complicated process that includes volume loss and soft tissue descent. This study provides quantitative 3-dimensional (3D) data on the long-term effect of vertical vector deep-plane rhytidectomy on restoring volume to the midface.

Objective: To determine if primary vertical vector deep-plane rhytidectomy resulted in long-term volume change in the midface. Read More

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https://academic.oup.com/asj/article-lookup/doi/10.1093/asj/
Publisher Site
http://dx.doi.org/10.1093/asj/sju171DOI Listing
July 2015
10 Reads

Deep plane face lifting for midface rejuvenation.

Clin Plast Surg 2015 Jan;42(1):129-42

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, Miami Valley Hospital, Kettering Medical Center, Good Samaritan North, Dayton Children's Hospital, Dayton, USA; Southwest Ohio ENT Specialists, 1222 S Patterson Boulevard, Dayton, Ohio. Electronic address:

The deep-plane midface lift offers many advantages in midface rejuvenation. Anatomic analysis of aging and embryologic evidence both support surgical facial “degloving” in the sub-SMAS plane and resuspension of the platysma/SMAS unit. This approach offers more complete repositioning of facial soft tissue compared with nonsurgical techniques, delivering accurate, direct treatment of deeper anatomic aspects of facial aging. Read More

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http://dx.doi.org/10.1016/j.cps.2014.08.009DOI Listing
January 2015
3 Reads

Deep plane facelifting for facial rejuvenation.

Facial Plast Surg 2014 Aug 30;30(4):394-404. Epub 2014 Jul 30.

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

The purpose of this article is to provide the facial plastic surgeon with anatomical and embryologic evidence to support the use of the deep plane technique for optimal treatment of facial aging. A detailed description of the procedure is provided to allow safe and consistent performance. Insights into anatomical landmarks, technical nuances, and alternative approaches for facial variations are presented. Read More

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http://dx.doi.org/10.1055/s-0034-1383551DOI Listing
August 2014
21 Reads

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
10 Reads

Surgical consideration of the anatomic origin of the risorius in relation to facial planes.

Aesthet Surg J 2014 Sep 14;34(7):NP43-9. Epub 2014 Jul 14.

Ms Bae is an anatomic researcher and a PhD candidate in the division in Anatomy and Developmental Biology, Human Identification Research Center, BK21 PLUS Project, Yonsei University College of Dentistry, Seoul, KoreaDr Youn is a medical artist, anatomist, and researcher; and Drs Hu and Kim are anatomists, professors, and researchers in the Division in Anatomy and Developmental Biology, Yonsei University College of Dentistry, Seoul, South KoreaDr Lee is a plastic surgeon in private practice in Seoul, South KoreaDr Hur is an anatomist, professor, and researcher in the Department of Anatomy, Kwandong University College of Medicine, Gangneung, South KoreaDr Tansatit is a professor and an anatomist in the Chula Soft Cadaver Surgical Training Center and the Department of Anatomy, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Background: Confusion exists as to the plane of the risorius with respect to the superficial musculoaponeurotic system (SMAS), the parotid fascia, and the masseteric fascia, which generally are considered origins of the risorius.

Objectives: The authors attempted to clarify the origin of the risorius by topographic examination and dissection, which would provide valuable anatomic information for flap dissection in facelift surgery.

Methods: Detailed dissection was performed in the perioral region of 46 cadaveric specimens to discern the origin of the risorius in relation to the fascial layer. Read More

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http://asj.oxfordjournals.org/content/asj/34/7/NP43.full.pdf
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http://asj.oxfordjournals.org/cgi/doi/10.1177/1090820X145419
Publisher Site
http://dx.doi.org/10.1177/1090820X14541959DOI Listing
September 2014
7 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
10 Reads

The deep-plane approach to neck rejuvenation.

Facial Plast Surg Clin North Am 2014 May;22(2):269-84

Section of Otolaryngology, Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT 06510, USA. Electronic address:

This article provides the facial plastic surgeon with anatomic and embryologic evidence to support the use of the deep-plane rhytidectomy for optimal treatment of the aging neck. An anatomic basis is established that demonstrates this technique's ability to maximize neck rejuvenation through its direct relationship to midface soft-tissue mobilization. A detailed description of the procedure, aimed at providing safe and consistent results, is presented with insights into anatomic landmarks, technical nuances, and alternative approaches to facial variations. Read More

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http://dx.doi.org/10.1016/j.fsc.2014.01.003DOI Listing
May 2014
3 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
12 Reads

Facial rejuvenation with fine-barbed threads: the simple Miz lift.

Aesthetic Plast Surg 2014 Feb 29;38(1):69-74. Epub 2013 Jun 29.

Miz Aesthetic Surgery Clinic, 513-4, Shinsa-dong, Gangnam-Gu, Seoul, 135-887, Republic of Korea.

Background: Since the invention of the first barbed (short) suture by Sulamanidze in the late 1990s, different techniques have been described including Woffles (long) thread lifting, Waptos suture lifting, Isse unidirectional barbed-threads lifting, and silhouette lifting. The authors have implemented a newly developed type of thread integrating more small cogs and a soft and fragile feeling of the material (medical grade polypropylene: 16.5 cm long, 15 cm of length covered with cogs, and 0. Read More

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http://dx.doi.org/10.1007/s00266-013-0177-2DOI Listing
February 2014
27 Reads
2 Citations
1.190 Impact Factor

The modern minimally invasive face lift: has it replaced the traditional access approach?

Facial Plast Surg Clin North Am 2013 May;21(2):171-89

Facial Plastic and Reconstructive Surgery, North Shore University Hospital, Manhasset, NY, USA.

Because modern facelift patients desire a less-invasive approach or minimally invasive approach to reduce visible scarring and decrease the recovery phase, achieving the surgeon's goal of optimal, reliable, and long-term aesthetic results with few complications becomes a challenge. The authors use the terms minimal access and traditional access to describe rhytidectomy approaches based solely on incision size. A short-incision, minimal-access approach with a deep-plane extended dissection is presented. Read More

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http://dx.doi.org/10.1016/j.fsc.2013.02.002DOI Listing
May 2013
6 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
8 Reads

Anatomical position of hyaluronic Acid gel following injection to the infraorbital hollows.

Ophthalmic Plast Reconstr Surg 2013 Jan-Feb;29(1):35-9

Oculoplastic, Facial Cosmetic, and Orbital Surgery, University of Wisconsin-Madison, Madison, WI 53226, USA.

Purpose: To examine with histology the anatomical location of hyaluronic acid gel injected to the infraorbital hollows of cadaver specimens.

Methods: The authors dissected 5 fresh hemifacial cadaver specimens following preperiosteal injection of hyaluronic acid gel to the infraorbital hollows. Following tissue fixation, full-thickness soft tissue sections were obtained along the medial, central, and lateral lower eyelid/midface of each specimen. Read More

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http://dx.doi.org/10.1097/IOP.0b013e318272d4b0DOI Listing
June 2013
8 Reads

Rhytidectomy: current concepts, controversies and the state of the art.

Curr Opin Otolaryngol Head Neck Surg 2012 Aug;20(4):262-6

Division of Otolaryngology, Department of Surgery, University of Wisconsin - Madison, Madison, Wisconsin, USA.

Purpose Of Review: To evaluate the current evidence-based medicine for rhytidectomy. Specific techniques and their scientific rationale are explored. The authors' practice modifications based on this evidence will be reviewed. Read More

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http://pdfs.journals.lww.com/co-otolaryngology/2012/08000/Rh
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
Publisher Site
http://dx.doi.org/10.1097/MOO.0b013e328355b175DOI Listing
August 2012
4 Reads

The transconjunctival deep-plane midface lift: a 9-year experience working under the muscle.

Aesthet Surg J 2012 Aug;32(6):692-9

Chicago Medical School, Rosalind Franklin University, North Chicago, Illinois, USA.

Background: Rejuvenation of the midface with a natural-looking, safe, and long-lasting result is a challenge in aesthetic surgery. The ideal approach should be easy to perform, with minimal risk and significant benefit. The combination of transconjunctival exposure and preservation of the periosteum may result in lower morbidity than traditional midface rejuvenation. Read More

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http://dx.doi.org/10.1177/1090820X12452292DOI Listing
August 2012
7 Reads

Antidepressants and bleeding risk after face-lift surgery.

Arch Facial Plast Surg 2012 Jul-Aug;14(4):248-52

Department of Otolaryngology–Head and Neck Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ 07103, USA.

Objective: To determine the rate of post-face-lift hematoma among users of serotonin reuptake inhibitors (SSRIs) vs non-SSRI users. Selective serotonin reuptake inhibitors have come under recent scrutiny because of possible bleeding risks. However, cessation of SSRIs carries inherent risks. Read More

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http://dx.doi.org/10.1001/archfacial.2012.2DOI Listing
November 2012
7 Reads

Facial rejuvenation surgery: a retrospective study of 8788 cases.

Aesthet Surg J 2012 May 28;32(4):393-412. Epub 2012 Feb 28.

Plastic Surgery Departments, Pontifical Catholic University of Rio de Janeiro and the Carlos Chagas Institute of Post-Graduate Medical Studies, Rio de Janeiro, Brazil.

Background: Surgical rejuvenation of the aging face is common in aesthetic surgery, and many surgical techniques have been described for accomplishing it. The keys to consistent results are the surgeon's judgment and ability to individualize a treatment plan according to the patient's needs. To obtain natural-appearing results, the surgeon must consider the morphological characteristics of the aging face. Read More

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https://academic.oup.com/asj/article/32/4/393/349450
Publisher Site
http://dx.doi.org/10.1177/1090820X12438895DOI Listing
May 2012
5 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
11 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
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http://dx.doi.org/10.1177/1090820X11424146DOI Listing
November 2011
37 Reads

Deep-plane face-lift as an alternative in the smoking patient.

Arch Facial Plast Surg 2011 Jul-Aug;13(4):283-5

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http://dx.doi.org/10.1001/archfacial.2011.39DOI Listing
February 2012
3 Reads

Objective assessment of change in apparent age after facial rejuvenation surgery.

Authors:
Eric Swanson

J Plast Reconstr Aesthet Surg 2011 Sep 22;64(9):1124-31. Epub 2011 Apr 22.

Background: Facial "rejuvenation" procedures make an implicit claim to provide a more youthful appearance. However, any benefit from such procedures has not been objectively evaluated and validated. This study was undertaken to investigate the effectiveness of facial rejuvenation using a deep-plane facelift and other cosmetic procedures. Read More

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http://dx.doi.org/10.1016/j.bjps.2011.04.004DOI Listing
September 2011
3 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
5 Reads

Extended lower eyelid skin muscle blepharoplasty.

Facial Plast Surg 2011 Feb 18;27(1):67-76. Epub 2011 Jan 18.

Rousso Facial Plastic Surgery Clinic, Birmingham, Alabama 35223, USA.

A patient presenting to a facial plastic surgeon with lower eyelid aging often has accompanying midface descent. Many surgical options exist to address these deformities. Blepharoplasty techniques include both the transcutaneous skin-muscle flap as well as the transconjunctival approach. Read More

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http://dx.doi.org/10.1055/s-0030-1270424DOI Listing
February 2011
22 Reads

The sentinel fat pads: the relationship of the ROOF and SOOF to the temporal nerve in facial rejuvenation.

Aesthet Surg J 2011 Jan;31(1):11-20

University of Maryland Medical Center, 22 S.Greene Street, Baltimore, MD 21201, USA.

Background: A great number of studies have reported on the temporal branch anatomy and its relationship to the fascial layers and various fat pads of the temporal region, but no article has included information on the relationship of the temporal nerve to the retro-orbicularis oculi fat (ROOF) and/or the suborbicularis oculi fat (SOOF).

Objectives: The authors report the results of a series of human cadaver temporal nerve dissections, with particular attention paid to its relation to the ROOF and the SOOF. The results of a literature review and a subsequent open browlift are also reported to confirm the results of the cadaver study. Read More

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http://dx.doi.org/10.1177/1090820X10391395DOI Listing
January 2011
6 Reads

Malar augmentation assessed by magnetic resonance imaging in patients after face lift and fat injection.

Authors:
Eric Swanson

Plast Reconstr Surg 2011 May;127(5):2057-65

Background: Restoration of cheek volume is recognized as an important part of facial rejuvenation. However, there are no previous studies that have determined whether any soft-tissue technique is effective for achieving lasting malar augmentation.

Methods: This study prospectively evaluated a subset of five patients who had deep-plane face lifts with fat injection, and other facial cosmetic procedures. Read More

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http://dx.doi.org/10.1097/PRS.0b013e31820e9286DOI Listing
May 2011
1 Read

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

Authors:
James M Stuzin

Plast Reconstr Surg 2011 Jan;127(1):371-3

Leonard M. Miller School of Medicine, University of Miami, Miami, Fla., USA.

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http://dx.doi.org/10.1097/PRS.0b013e3181f957daDOI Listing
January 2011
6 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

Outcome analysis in 93 facial rejuvenation patients treated with a deep-plane face lift.

Authors:
Eric Swanson

Plast Reconstr Surg 2011 Feb;127(2):823-34

Background: This prospective study assessed outcomes in patients undergoing a deep-plane face lift and other simultaneous facial cosmetic procedures. It is the first prospective outcome study to assess and compare these patients and provide data on patient satisfaction and quality of life—the most important determinants of surgical success.

Methods: From 2002 to 2007, in-person interviews were conducted with 93 patients who attended a follow-up appointment at least 1 month after surgery from a total of 122 consecutive patients treated with a deep-plane face lift and other facial rejuvenation procedures (response rate, 76 percent). Read More

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http://dx.doi.org/10.1097/PRS.0b013e3181fed81fDOI Listing
February 2011
4 Reads

Anatomic comparison of the deep-plane face-lift and the transtemporal midface-lift.

Arch Facial Plast Surg 2010 Sep-Oct;12(5):339-41

Section of Facial Plastic and Reconstructive Surgery, North Shore University Hospital, Manhasset, New York, USA.

Objective: To identify whether the deep-plane face-lift or the extended transtemporal subperiosteal midface-lift is more effective in correcting midfacial ptosis.

Methods: Five cadaveric dissections were performed with a unilateral transtemporal subperiosteal midface-lift followed by a deep-plane face-lift on the same hemihead. Three suspension sutures were evaluated-transtemporal midface-lift, zygomaticofacial and melolabial sutures, and a deep-plane face-lift suture-to determine the degree of elevation on the nasolabial fold. Read More

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http://dx.doi.org/10.1001/archfaci.12.5.339DOI Listing
January 2011
2 Reads

The frontal branch of the facial nerve across the zygomatic arch: anatomical relevance of the high-SMAS technique.

Plast Reconstr Surg 2010 Apr;125(4):1221-9

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

Background: The frontal branch has a defined course along the Pitanguy line from tragus to lateral brow, although its depth along this line is controversial. The high-superficial musculoaponeurotic system (SMAS) face-lift technique divides the SMAS above the arch, which conflicts with previous descriptions of the frontal nerve depth. This anatomical study defines the depth and fascial boundaries of the frontal branch of the facial nerve over the zygomatic arch. Read More

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http://dx.doi.org/10.1097/PRS.0b013e3181d18136DOI Listing
April 2010
60 Reads

Defining the facial extent of the platysma muscle: a review of 71 consecutive face-lifts.

Arch Facial Plast Surg 2009 Nov-Dec;11(6):405-8

Division of Facial Plastic Surgery, Department of Otolaryngology, University of Chicago, 845 N Michigan Ave, Ste 934E, Chicago, IL 60611, USA.

Objective: To delineate the superior (facial) extent of the platysma muscle.

Methods: A total of 142 facial halves were examined from 71 consecutive deep-plane rhytidectomies performed over a period of 3 months. The platysma muscle was identified and isolated during the procedure. Read More

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http://dx.doi.org/10.1001/archfacial.2009.82DOI Listing
February 2010
6 Reads

Extended superficial muscular aponeurotic system rhytidectomy: a graded approach.

Facial Plast Surg Clin North Am 2009 Nov;17(4):575-87, vi

Meridian Plastic Surgeons, 170 W. 106th Street, Indianapolis, IN 46290, USA.

Surgical approaches for rhytidectomy continue to evolve. For the past 26 years, the senior author has used a graded approach in combination with the modified deep-plane facelift, consistently achieving natural-appearing results and satisfied patients. This article outlines the analysis of the patient, preoperative preparation of the patient, an algorithm for adjunctive procedures to achieve a youthful yet balanced face, the associated surgical technique, and also possible complications. Read More

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http://dx.doi.org/10.1016/j.fsc.2009.06.008DOI Listing
November 2009