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Updated: Jun 8, 2026

19:53
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
[The face lift, a light, efficient and long lasting operation].
1Centre de chirurgie plastique esthétique, 612, avenue de L'Occitanie, 34090 Montpellier, France. alain-bonnefon@wanadoo.fr
Summary
This study refines the face-lift procedure, moving away from plication techniques. The improved method ensures a safe, efficient, and long-lasting result by focusing on fascia-to-fascia joining and minimal undermining.
Area of Science:
- Plastic Surgery
- Facial Anatomy
- Surgical Techniques
Context:
- Traditional face-lift methods, like plication, have been the standard since 1974.
- Plication involves joining tissues under constant tension, leading to unreliable and friable results.
- Patient demand is shifting towards less invasive procedures, such as threads and aesthetic medicine.
Purpose:
- To present a refined face-lift technique that avoids plication.
- To achieve a safe, efficient, and long-lasting facial rejuvenation.
- To offer a superior alternative to current aesthetic medicine trends.
Summary:
- The refined face-lift technique involves undermining and repositioning tissues to allow for effortless joining on the parotid fascia.
- This method avoids the permanent tension associated with plication, ensuring a more reliable and durable result.
- The procedure is characterized by minimal skin undermining, effortless SMAS elevation, and safe dissection in areas free of motor nerves, with over 2000 cases showing no paresis.
Impact:
- The technique provides a long-lasting result due to fascia-to-fascia joining over a large surface area.
- It offers a lighter procedure with virtual skin undermining at the end.
- This refined face-lift represents the lightest, most efficient, safest, and longest-lasting option for facial rejuvenation compared to current trends.
