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Rhytidectomy and the nasolabial fold
1Department of Surgery, University of Texas Southwestern Medical Center, Dallas.
Plastic and Reconstructive Surgery
|October 11, 1992
Summary
This study details a modified Skoog facelift technique, enhancing SMAS (superficial musculoaponeurotic system) mobility for improved cheek lift. The procedure demonstrated significant nasolabial fold improvement in over 80% of patients, lasting up to four years.
Area of Science:
- Plastic Surgery
- Facial Anatomy
- Aesthetic Surgery
Background:
- The superficial musculoaponeurotic system (SMAS) is crucial for facial structure and movement.
- Current facelift techniques aim to improve facial contour and reduce aging signs.
- Optimizing SMAS manipulation is key to achieving natural and lasting facial rejuvenation.
Purpose of the Study:
- To describe a technical modification of the Skoog facelift procedure.
- To enhance the mobility and perfusion of the medial cheek flap.
- To evaluate the efficacy of this modified technique in improving the nasolabial fold.
Main Methods:
- A technical modification involving release of deep SMAS attachments to facial muscles.
- Elevation of the cheek flap as a composite of skin, subcutaneous tissue, and SMAS.
- Analysis of results in 100 patients using functional zones of the nasolabial fold and photographic grading.
Main Results:
- Marked improvement in the nasolabial fold was observed in over 80% of patients.
- Sustained improvement was noted at 6 and 12 months postoperatively.
- The aesthetic benefits of the procedure appeared to last up to 4 years.
Conclusions:
- The described technical modification of the Skoog facelift enhances medial cheek mobility and flap perfusion.
- This technique offers significant and durable improvement in the nasolabial fold.
- The modified Skoog facelift is an effective procedure for facial rejuvenation.