159 results match your criteria Rhytidectomy Deep Plane Facelift

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 2020 Sep 16. Epub 2020 Sep 16.

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

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

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September 2020

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

Effects of Intravenous Tranexamic Acid During Rhytidectomy: A Randomized, Controlled, Double-Blind Pilot Study.

Aesthet Surg J 2021 01;41(2):155-160

Background: Tranexamic acid (TXA) is an antifibrinolytic agent shown to decrease intraoperative bleeding, reduce transfusions, and improve outcomes across multiple specialties. Within plastic surgery, initial reports are encouraging but formal studies are lacking.

Objectives: The aim of this study was to determine whether intravenous (IV) TXA has any effect on intraoperative bleeding or postoperative sequelae in patients undergoing a deep-plane facelift. Read More

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January 2021

A novel variation of the suture suspension facelift.

J Cosmet Dermatol 2020 Oct 10;19(10):2542-2548. Epub 2020 Feb 10.

Los Angeles School of Medicine, University of California, Los Angeles, CA, USA.

Background: We propose a technical variation of the minimally invasive suture suspension facelift.

Methods: A novel variation of the minimally invasive facelift is proposed. The technique consists of two components. Read More

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October 2020

Fat Grafting to Improve Results of Facelift: Systematic Review of Safety and Effectiveness of Current Treatment Paradigms.

Aesthet Surg J 2021 01;41(1):1-12

Department of Plastic and Reconstructive Surgery, Loma Linda University, Loma Linda, CA.

Background: Autologous fat grafting is a helpful supplement to facelift surgery that helps to combat age-related volume loss of facial structures. Despite the widespread prevalence of combined facelift and fat-grafting, significant procedural variation exists between providers.

Objectives: The primary purpose of this systematic review was to study the efficacy and complication rates of facelift with lipofilling compared with facelift alone. Read More

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January 2021

Face Lifting in Bald Male Patients: New Trends and Specific Needs.

Plast Reconstr Surg 2020 01;145(1):60-69

From the Department of Plastic and Reconstructive Surgery, University of Rome "Tor Vergata"; and the Villa Bella Clinic.

Background: Aesthetic surgery has recently become popular also among men. The ever-increasing number of bald men wishing to undergo facial surgery represents a challenge for the surgeon, as the scars cannot be hidden in the hair and must therefore be as short as possible. The authors present their experience in face lifting in bald male patients and propose an innovative technique to handle the skin excess to achieve practically invisible scars. Read More

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January 2020

The Facial Fat Compartments Revisited: Clinical Relevance to Subcutaneous Dissection and Facial Deflation in Face Lifting.

Plast Reconstr Surg 2019 11;144(5):1070-1078

From the Institute of Aesthetic Medicine and the Dallas Plastic Surgery Institute.

The facial fat compartments were described over a decade ago, but their clinical relevance to both deflation and techniques in facial rejuvenation is underappreciated. Although much of the literature following their description has focused on further anatomical elucidation of compartment anatomy, clinical relevance has focused on volumetric compartment augmentation. From the authors' perspective, understanding compartmentalization of facial fat provides an anatomical roadmap of the facial subcutaneous plane and a patient-specific guide for the degree of skin flap dissection in facial rejuvenation. Read More

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November 2019

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

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

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

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

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January 2020

The Modified Upper Lip Lift: Advanced Approach with Deep-Plane Release and Secure Suspension: 823-Patient Series.

Benjamin Talei

Facial Plast Surg Clin North Am 2019 Aug 17;27(3):385-398. Epub 2019 May 17.

Facial Plastic & Reconstructive Surgery, Beverly Hills Center for Plastic & Laser Surgery, 465 North Roxbury Drive, Suite 750, Beverly Hills, CA 90210, USA. Electronic address:

The modified upper lip lift procedure is a simple evolution of the cutaneous bullhorn subnasal lip lift. The superficial muscular aponeurotic system layer in the lip is described along with the pyriform ligament, both of which play an essential role in lip lifting. This article details an easily reproducible deep-plane technique that can be applied to patients of all ages, ethnicities, and skin types. Read More

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Optimal Facelift Vector and its Relation to Zygomaticus Major Orientation.

Aesthet Surg J 2020 03;40(4):351-356

private facial plastic surgery practice in New York, NY.

Background: The vector of superficial musculoaponeurotic system (SMAS) redraping in rhytidectomy is often described in relation to the zygomaticus major muscle (ZMM), so that suspension prevents distortion of the mimetic musculature and a "facelifted appearance." There are no data describing the true orientation of this muscle in the midface.

Objectives: The aim of this study was to define the vector of the ZMM relative to the Frankfort horizontal plane. Read More

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

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

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

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

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

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Deep Plane Facelift: An Evaluation of the High-SMAS versus Standard Incision Points.

Facial Plast Surg 2018 Dec 4;34(6):646-650. Epub 2018 Dec 4.

Division of Facial Plastic and Reconstructive Surgery, Department of Head and Neck Surgery, University of California, Los Angeles, Los Angeles, California.

In surgery of the aging face, operative adjustments of the superficial musculoaponeurotic system (SMAS) enhance facial contours. The senior author has observed that the standard deep plane face lift entry points on the SMAS do not provide as much tissue movement in a vertical direction as high-SMAS deep plane face lift entry points. In this study, tissue movement was measured comparing the conventional SMAS entry point with a high-SMAS entry point for deep plane face lifts. Read More

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December 2018