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Multiplane face lift with the subperiosteal dissection for orientals
1Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Korea. PRS1@netsgo.com
Plastic and Reconstructive Surgery
|December 22, 1999
Summary
This study details a multiplane facelift technique for Oriental patients, combining subperiosteal and deep subcutaneous dissection. The procedure effectively rejuvenates the midface and periorbital region, achieving natural-looking results.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation
Background:
- The subperiosteal facelift is a surgical technique to rejuvenate the midface and periorbital area.
- Oriental facial anatomy presents unique contours, including brachycephalic cranium and prominent zygoma/mandibular angles, which were previously thought to complicate this procedure.
Purpose of the Study:
- To evaluate the efficacy and safety of a multiplane facelift technique in Oriental patients.
- To assess the role of distinct facial contours in subperiosteal facelift outcomes.
Main Methods:
- A modified subperiosteal facelift procedure was performed on Oriental patients since 1993.
- Ancillary upper buccovestibular and subciliary incisions were utilized to facilitate the procedure.
- For older patients, the subperiosteal approach was combined with deep subcutaneous dissection.
Main Results:
- Facial protuberances in Oriental patients acted as reliable fulcrums, aiding lifting vectors.
- A simple periosteal lift was insufficient for severe nasolabial folds and wrinkles due to superficial layer "lag-lifting".
Conclusions:
- The multiplane facelift, integrating subperiosteal and deep subcutaneous dissection, provides natural-appearing rejuvenation for the aging Oriental face.
- This technique effectively addresses midface and periorbital aging concerns in patients with distinct facial anatomy.