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The minimal access deep plane extended vertical facelift.

Andrew A Jacono1, Sachin S Parikh

  • 1North Shore University Hospital, Manhasset, New York, USA.

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|November 9, 2011
PubMed
Summary
This summary is machine-generated.

The Minimal Access Deep Plane Extended (MADE) vertical facelift offers a long-lasting, natural rejuvenation, outperforming short scar techniques in the midface and neck. This hybrid procedure can be performed under local anesthesia, minimizing risks and recovery time.

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Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation Techniques
  • Aesthetic Surgery

Background:

  • Facelift techniques increasingly favor shorter incisions and limited dissection for reduced recovery and risks.
  • The superficial musculoaponeurotic system (SMAS) and platysma dissection are key areas modified in modern facelifts.
  • Patient demand for quicker recovery drives innovation in minimally invasive facial rejuvenation.

Purpose of the Study:

  • To describe the Minimal Access Deep Plane Extended (MADE) vertical vector facelift technique.
  • To evaluate the efficacy and safety of the MADE vertical facelift as a hybrid approach.
  • To compare the MADE vertical facelift with traditional deep plane and short scar techniques.

Main Methods:

  • Retrospective review of 181 facelift patients over two years, with 153 undergoing the MADE vertical technique.
  • Utilized deep plane dissection to release zygomatico-cutaneous ligaments for enhanced midface and jawline mobility.
  • Incorporated extended platysmal dissection with lateral platysmal myotomy for independent vector suspension in the midface and neck.

Main Results:

  • The average patient age was 57.8 years, with a mean follow-up of 12.7 months.
  • Average vertical skin excision was 3.02 cm per side, totaling 6.04 cm.
  • Reported complication rates included 3.9% revision, 1.9% hematoma, and 1.3% temporary facial nerve injury.

Conclusions:

  • The MADE vertical facelift achieves long-lasting, natural results with minimal complications and downtime.
  • This technique demonstrates superior outcomes in the midface and neck compared to many short scar methods.
  • The procedure's suitability for local anesthesia offers significant patient and surgeon benefits.