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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Modified lateral SMASectomy.

Norman Waterhouse1, Martin Vesely, Neil W Bulstrode

  • 1Wellington Hospital, London, UK. wtrhouse@globalnet.co.uk

Plastic and Reconstructive Surgery
|February 22, 2007
PubMed
Summary

This modified lateral SMAS-ectomy simplifies cosmetic surgery by addressing the SMAS and platysma together. The procedure offers durable, pleasing results for neck, jowl, and nasolabial fold correction with minimal complications.

Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation Techniques

Background:

  • The modified lateral superficial musculoaponeurotic system (SMAS)-ectomy builds upon Baker's original technique.
  • This evolution simplifies the procedure by targeting both SMAS and platysma simultaneously.

Purpose of the Study:

  • To present a modified lateral SMAS-ectomy technique.
  • To evaluate its efficacy in addressing neck, jowl, and nasolabial fold laxity.

Main Methods:

  • A rectangular segment of SMAS and platysma was excised.
  • Dissection preserved the facial nerve, and closure resulted in correction of facial contours.
  • Superolateral elevation of the flap addressed neck laxity and platysma redundancy.

Main Results:

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  • The procedure was performed on 359 patients by the senior author.
  • The technique demonstrated effectiveness in improving neck, jowl, and nasolabial fold appearance.

    • Conclusions:

    • The modified lateral SMAS-ectomy provides satisfactory and lasting aesthetic outcomes.
    • The technique is associated with minimal patient morbidity.