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

Abstract:

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

journal_name

Plast Reconstr Surg

authors

Stuzin JM,Baker TJ,Baker TM

doi

10.1097/00006534-200001000-00046

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

290-301

issue

1

eissn

0032-1052

issn

1529-4242

journal_volume

105

pub_type

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