Viscoelastic properties of the superficial musculoaponeurotic system (SMAS): a microscopic and mechanical study.

Abstract:

:A study was undertaken to determine the physical properties and microscopic structure of the superficial musculoaponeurotic system (SMAS) tissue. Forty virginal specimens and eight reoperated specimens were examined. The following findings were discovered. 1) Microscopic appearance shows the SMAS to consist of collagen fibers, a relatively high concentration of elastic fibers interspersed with fat cells. 2) On scanning electron microscopy, the virginal SMAS shows the collagen fibers to have a similar convoluted appearance as in the dermis. There is some evidence of parallelization of the collagen fibers in the reexcised SMAS specimens. 3) Mechanical testing (Instron) demonstrates that both the SMAS and preauricular skin were subjected to a series of loading/ unloading tests at various rates, amplitudes, and stress relaxation tests. Both sets of specimens indicated definite viscoelastic properties. Although the mechanical behavior of both tissues was somewhat similar, the viscoelastic effect of the SMAS was less pronounced. A slackening effect of the SMAS indicated a gradual expansion of the SMAS postoperatively. These results could provide some indication of the long-term effects of SMAS surgery.

journal_name

Aesthetic Plast Surg

authors

Har-Shai Y,Bodner SR,Egozy-Golan D,Lindenbaum ES,Ben-Izhak O,Mitz V,Hirshowitz B

doi

10.1007/s002669900113

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

219-24

issue

4

eissn

0364-216X

issn

1432-5241

journal_volume

21

pub_type

杂志文章
  • Chin Microgenia: A Clinical Comparative Study.

    abstract:BACKGROUND:The aesthetic relevance of the chin and its relatively simple correction through different approaches make genioplasty one of the most performed aesthetic procedures of the face. Sliding genioplasty is extremely rewarding, particularly when performed as an adjunction to rhinoplasty, rhytidectomy, or jaw surg...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-015-0518-4

    authors: Bertossi D,Galzignato PF,Albanese M,Botti C,Botti G,Nocini PF

    更新日期:2015-10-01 00:00:00

  • Opinions on the "Trick" Technique to Reposition the NAC in Female-to-Male Transsexuals.

    abstract:: ...

    journal_title:Aesthetic plastic surgery

    pub_type: 评论,信件

    doi:10.1007/s00266-018-1220-0

    authors: Ouyang YY,Li CC,Liu CJ

    更新日期:2019-02-01 00:00:00

  • Increasing projection in patients undergoing free nipple graft reduction mammoplasty.

    abstract::Reduction mammoplasty in patients with gigantomastia has traditionally been performed by a technique involving free nipple grafting. These patients usually have only a small amount of breast tissue above the inframammary fold and therefore this type of procedure has often left patients with an insufficient amount of s...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s002669900284

    authors: Abramson DL

    更新日期:1999-07-01 00:00:00

  • The M-Y Axilloplasty After Massive Weight Loss: Analysis of 159 Consecutive Patients.

    abstract:BACKGROUND:Brachioplasties often culminate in unsightly scars that are a source of disappointment to patients. We aimed to evaluate the results of M-Y axilloplasty following massive weight loss. PATIENTS:We performed a retrospective assessment of our technique for brachioplasty with an M-Y axilloplasty in 159 female p...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-018-1133-y

    authors: Boccara D,Petit A,Reinbold C,Chaouat M,Mimoun M,Serror K

    更新日期:2018-08-01 00:00:00

  • Hemostatic net in rhytidoplasty: an efficient and safe method for preventing hematoma in 405 consecutive patients.

    abstract:BACKGROUND:Hematoma is the most common postoperative complication of rhytidoplasty, resulting in higher morbidity and longer recovery. Quilting suture for closure of the undermined area in abdominoplasty avoids the occurrence of seroma. Based on this principle and with the objective of reducing the number of patients w...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-013-0202-5

    authors: Auersvald A,Auersvald LA

    更新日期:2014-02-01 00:00:00

  • Postauricular cartilage storage in rhinoplasty.

    abstract::In the past decade, the number of patients demanding rhinoplasty has increased, and this has increased the use of grafts. Although different materials are used as grafts, cartilage is the most popular one. In secondary rhinoplasties the need for cartilage is very frequent. The most suitable cartilage grafts are the on...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-002-1475-2

    authors: Deren O,Görgü M,Ayhan M,Tuncel A,Erdoğan B

    更新日期:2002-03-01 00:00:00

  • Revision Abdominoplasty with Truncal Liposculpting: A 10-Year Experience.

    abstract:INTRODUCTION:Abdominoplasty is one of the most popular body-contouring procedures. Despite its popularity, classic abdominoplasty is still associated with a significant rate of complaints from patients such as: fullness of flanks and epigastric areas, lack of a posterior lumbar curve, hanging skin over the incision lin...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-018-1176-0

    authors: Sterodimas A,Boriani F,Nicaretta B,Pereira LH

    更新日期:2019-02-01 00:00:00

  • Breast cancer following augmentation mammaplasty with polyacrylamide hydrogel (PAAG) injection.

    abstract::Polyacrylamide hydrogel (PAAG) as an implanted material for augmentation mammaplasty has been used for years in China. Many kinds of complications associated with PAAG use have been reported in the clinical literature. This report presents two cases of breast cancer occurring after injection of PAAG in augmented breas...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-008-9298-4

    authors: Cheng NX,Liu LG,Hui L,Chen YL,Xu SL

    更新日期:2009-07-01 00:00:00

  • Nasal tip suspending transfixion suture.

    abstract:BACKGROUND:Anterior septal height is an important determinant of nasal tip projection. Accordingly, the anterior septal extension technique has proven itself to be a powerful tool for achieving long-lasting nasal tip projection in rhinoplasty. However, anterior septal extension does not protect against postoperative lo...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-014-0307-5

    authors: Bitik O,Uzun H,Kamburoğlu HO,Dadaci M

    更新日期:2014-04-01 00:00:00

  • Randomized Double-Blind Controlled Study on the Safety and Efficacy of a Novel Injectable Cross-linked Hyaluronic Gel for the Correction of Moderate-to-Severe Nasolabial Wrinkles.

    abstract:INTRODUCTION:The current study compares two hyaluronic acid fillers, Ial System Duo and Belotero Basic/Balance, for the treatment of wrinkles. MATERIALS AND METHODS:This is a single-center, double-blind randomized controlled study. Inclusion criteria consisted of subjects with bilateral nasolabial wrinkles. Each subje...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00266-018-1284-x

    authors: Fino P,Toscani M,Grippaudo FR,Giordan N,Scuderi N

    更新日期:2019-04-01 00:00:00

  • An old story: an ivory nasal implant.

    abstract::The author describes the 45-year-old successful survival of a series of ivory implants, used by his father, Dr. Rafael Vilar-Sancho, to repair and reconstruct a severe nasal deformity. ...

    journal_title:Aesthetic plastic surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1007/BF01575503

    authors: Vilar-Sancho B

    更新日期:1987-01-01 00:00:00

  • Use of resurfaced temporoparietalis flap in total ear reconstruction with less-than-favorable skin coverage.

    abstract::Use of a vascular pedicled temporoparietalis muscle flap resurfaced with a full-thickness skin graft from the opposite ear, instead of less-than-favorable skin coverage, is advocated to achieve more satisfactory aesthetic results in total ear reconstruction handicapped by the presence of scarred local skin. The techni...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF01570713

    authors: Nakai H,Ishii Y,Ozaki S,Sezai Y

    更新日期:1984-01-01 00:00:00

  • The subperiosteal bicoronal approach to total facelifting: the DMAS--deep musculoaponeurotic system.

    abstract::Craniofacial surgery, developed by Paul Tessier, has shown that subperiosteal undermining and lifting of the soft tissues of the upper two-thirds of the face results in an excellent and long-lasting rejuvenated look to the entire face. The result is significantly more durable and longer lasting than the classic subcut...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF02273874

    authors: Maillard GF,Cornette de St Cyr B,Scheflan M

    更新日期:1991-10-01 00:00:00

  • Day case breast augmentation under paravertebral blockade: a prospective study of 100 consecutive patients.

    abstract:BACKGROUND:An increasing trend toward day surgery management requires plastic surgeons not only to be cognizant of block techniques, but also to assess their safety and efficacy objectively. Paravertebral block offers benefits by enhancing surgical anesthesia and postoperative analgesia. This study aimed to assess the ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-006-0230-5

    authors: Cooter RD,Rudkin GE,Gardiner SE

    更新日期:2007-11-01 00:00:00

  • Calf implants: a 25-year experience and an anatomical review.

    abstract:BACKGROUND:Body contouring in the calf region is becoming a more frequently requested procedure. There are several techniques for calf enhancement, including implants, liposuction, and free flaps. Alloplastic augmentation can be performed with several implant types and several layers of pocket dissection. We present ou...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-011-9812-y

    authors: de la Peña-Salcedo JA,Soto-Miranda MA,Lopez-Salguero JF

    更新日期:2012-04-01 00:00:00

  • Independent effect of various facial mimetic muscles on the nasolabial fold.

    abstract::The independent effect of the contraction of various facial mimetic muscles on the nasolabial fold was defined through study of cadaver dissections. The four major lip elevator muscles were identified and the effect of traction of these muscles on the nasolabial fold was studied. This study identified the levator alae...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF00450609

    authors: Pessa JE,Brown F

    更新日期:1992-04-01 00:00:00

  • A two-way continuous buried-suture approach to the creation of the long-lasting double eyelid: surgical technique and long-term follow-up in 51 patients.

    abstract:BACKGROUND:Although it is seldom reported in the Western literature, the buried-suture operation to create a double eyelid is very popular in Asia. However, the buried-suture methods are traditionally associated with a high recurrence rate. Corneal damage and exposed conjunctiva suture are also possible. METHODS:The t...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-009-9344-x

    authors: Fan J,Low DW

    更新日期:2009-05-01 00:00:00

  • Treatment of hypertrophic scars with intralesional botulinum toxin type A injections: a preliminary report.

    abstract:BACKGROUND:Hypertrophic scar is the abnormal appearance of wound healing that usually causes major physical, psychological, and cosmetic problems. Treatment of the hypertrophic scar still is a dilemma due to the lack of effective and excellent methods and agents. Recent reports show that botulinum toxin type A (BTX-A) ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00266-009-9334-z

    authors: Xiao Z,Zhang F,Cui Z

    更新日期:2009-05-01 00:00:00

  • Gavello's procedure: an old earlobe reconstruction method, revisited and touched up.

    abstract::Earlobe reconstruction following traumatic damage is a challenge for most of the plastic and reconstructive surgeons. Several methods developed for reconstruction of this deformity have shown to bear various advantages and disadvantages. Our modified Gavello's procedure, without using skin grafting in resurfacing the ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s002660010120

    authors: Emiroglu M,Al-Saedi M

    更新日期:2001-05-01 00:00:00

  • Cell-Assisted Lipotransfer: A Systematic Review of Its Efficacy.

    abstract:INTRODUCTION:Autologous lipotransfer is seen as an ideal filler for soft tissue reconstruction. The main limitation of this procedure is the unpredictable resorption and volume loss of the fat graft. In the recent decade, an increasing amount of research has focused on the use of adipose tissue-derived stromal cells (A...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00266-016-0613-1

    authors: Toyserkani NM,Quaade ML,Sørensen JA

    更新日期:2016-04-01 00:00:00

  • The crossed dermal flaps technique for breast reduction.

    abstract:BACKGROUND:More than100 techniques and variations of breast reduction have been published. In most, the principal differences involve the method of transpositioning the nipple-areola complex and the pattern of skin resection. Skin resection inevitably causes scarring, which has given rise to an ongoing debate over long...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-004-0370-4

    authors: de la Plaza R,de la Cruz L,Moreno C,Soto L

    更新日期:2004-11-01 00:00:00

  • Y-scar vertical mammaplasty for treatment of mild macromastia with pseudoptosis.

    abstract::Y-scar vertical mammaplasty is a technical modification of vertical scar breast reduction, which avoids superior areolar scarring. It has been previously shown to be particularly useful in young patients with mild macromastia and minimal or no ptosis. This case report presents a new indication for which to apply this ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-010-9484-z

    authors: Akyurek M

    更新日期:2010-08-01 00:00:00

  • Surgical Management of the Internal Nasal Valve: A Review of Surgical Approaches.

    abstract:BACKGROUND:Nasal valve collapse is relatively common with a lifetime prevalence of up to 13%. Etiologies include prior rhinoplasty, other surgical procedures, facial paralysis, congenital defects, trauma, and aging. Internal nasal valve collapse leads to impairment of nasal breathing, which significantly disturbs quali...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00266-020-02075-5

    authors: Sinkler MA,Wehrle CJ,Elphingstone JW,Magidson E,Ritter EF,Brown JJ

    更新日期:2021-01-05 00:00:00

  • The Relation Between the Lower Lateral Cartilages and the Function of the External Nasal Valve.

    abstract:INTRODUCTION:The position of the lower lateral cartilages (LLC) is closely related to the function of the external nasal valve (ENV). When there is a cephalic malposition of these cartilages, the nasal alae have inadequate support, which leads to ENV insufficiency during deep inspiration. METHODS:Retrospective study w...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-018-1195-x

    authors: Silva EN

    更新日期:2019-02-01 00:00:00

  • CAST liposuction: an alternative to brachioplasty.

    abstract::The aging female with excess arm fat and poor skin tone frequently refuses a brachioplasty scar due to permanent detectability. Traditional deep liposuction localized to the posterolateral aspect of the arm frequently leaves sagging, wrinkled skin. Circumferential para-Axillary Superficial Tumescent (CAST) liposuction...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s002669900144

    authors: Gilliland MD,Lyos AT

    更新日期:1997-11-01 00:00:00

  • Adverse Events of Botulinum Toxin Type A in Facial Rejuvenation: A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:Botulinum toxin A (BTX-A) is a medical product that is used widely in cosmetics, and concern over the safety profile has increased among injectors and patients. OBJECTIVE:The purpose was to enhance the statistical effect size using a meta-analysis to detect the incidence rate of adverse events (AEs) in the ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00266-016-0682-1

    authors: Jia Z,Lu H,Yang X,Jin X,Wu R,Zhao J,Chen L,Qi Z

    更新日期:2016-10-01 00:00:00

  • The Effect of Respiration on Breast Measurement Using Three-dimensional Breast Imaging.

    abstract:BACKGROUND:Three-dimensional (3D) imaging offers new opportunities to enable objective and quantitative analysis of the breast. Unlike scanning of rigid objects, respiration may be one of the factors that can influence the measurement of breast when using 3D imaging. In this study, we aimed to investigate how the diffe...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/s00266-018-1231-x

    authors: Wang C,Liu C,Giatsidis G,Cheng H,Chen L,Kang D,Panayi AC,Luan J

    更新日期:2019-02-01 00:00:00

  • Otoplasty: shaping the antihelix.

    abstract::In completing a satisfactory repair of the prominent ear, the shape of the antihelical fold is often the key to the aesthetic outcome. Correction involves not just creating a fold in the antihelix but also establishing a smooth sweep or antihelical curve anterior to posterior as well. The essential components describe...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF00444251

    authors: Johnson PE

    更新日期:1994-01-01 00:00:00

  • Borderline personality disorder and aesthetic plastic surgery.

    abstract:UNLABELLED:Borderline personality disorder (BPD) is a common axis II disorder associated with a high risk of impulsivity and self-injury. Several authors have suggested that individuals with BPD are poor candidates for plastic surgery. Recent changes in the Diagnostic and Statistical Manual of Mental Disorders, Fifth E...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00266-014-0396-1

    authors: Morioka D,Ohkubo F

    更新日期:2014-12-01 00:00:00

  • Repairing errors of Nipple-areolar placement following reduction mammoplasty.

    abstract::Although the newer techniques for reduction mammoplasty generally give excellent results, some patients may develop recurrent ptosis as a result of greater tissue elasticity, or the breast may sag beneath the inframammary line, elevating the nipple. Proper preoperative evaluation and planning can help to prevent such ...

    journal_title:Aesthetic plastic surgery

    pub_type: 杂志文章

    doi:10.1007/BF01575216

    authors: Smith JW,Gillen FJ

    更新日期:1980-12-01 00:00:00