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Updated: Jun 18, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Extended superficial muscular aponeurotic system rhytidectomy: a graded approach
Stephen W Perkins1, Amit B Patel
1Meridian Plastic Surgeons, 170 W. 106th Street, Indianapolis, IN 46290, USA. sperkins@meridianplastic.com
Abstract:
Surgical approaches for rhytidectomy continue to evolve. For the past 26 years, the senior author has used a graded approach in combination with the modified deep-plane facelift, consistently achieving natural-appearing results and satisfied patients. This article outlines the analysis of the patient, preoperative preparation of the patient, an algorithm for adjunctive procedures to achieve a youthful yet balanced face, the associated surgical technique, and also possible complications.
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