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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

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'Optimum mobility' facelift. Part 1 - the theory.

¹Department of Otolaryngology, Head and Neck Surgery, McGill University, Montreal, Quebec.

The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique

|June 26, 2009

Summary

Facial tissue mobility, not just dissection plane, is key to successful rhytidectomy (facelift). This study introduces theories on intrinsic, induced, and optimum mobility for better facelift planning and outcomes.

Keywords:

Facelift Optimum mobility rhytidectomy

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Area of Science:

Plastic Surgery
Facial Anatomy
Surgical Techniques

Background:

Rhytidectomy techniques vary mainly by dissection plane.
Complete tissue mobilization is often deemed essential for satisfactory facelift results.

Purpose of the Study:

To question the sole reliance on dissection plane and tissue mobilization in rhytidectomy.
To introduce and analyze facial tissue mobility as a crucial factor in facelift surgery.

Main Methods:

Discussion of traditional rhytidectomy planes.
Analysis of facial tissue mobility.
Development of three theories: intrinsic mobility, surgically induced mobility, and optimum mobility points.

Main Results:

Facial tissue mobility is proposed as a critical element in rhytidectomy planning.
Three theories of facial tissue mobility have been developed.
These theories form the basis for a new 'optimum mobility' facelift technique.

Conclusions:

Facial tissue mobility significantly influences rhytidectomy outcomes.
The 'optimum mobility' facelift technique leverages these mobility concepts for improved results.
A novel approach to facelift surgery focusing on tissue mobility is presented.