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The deep-plane rhytidectomy
1Division of Plastic Surgery, University of Texas Health Sciences Center, Dallas.
Plastic and Reconstructive Surgery
|July 1, 1990
Summary
Deep-plane rhytidectomy significantly improves redundant nasolabial folds, a common challenge in facelift surgery. This technique involves extensive sub-SMAS dissection to create a robust flap, yielding dramatic aesthetic results.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Techniques
- Anatomical Dissection
Background:
- Redundant nasolabial folds present a persistent challenge in traditional facelift procedures.
- Limited improvement in nasolabial fold laxity often impacts overall patient satisfaction.
Purpose of the Study:
- To introduce and describe the deep-plane rhytidectomy technique.
- To address the specific issue of laxity in the nasolabial folds.
- To detail a method for achieving significant improvement in the nasolabial region.
Main Methods:
- Utilized a Skoog-type sub-superficial musculoaponeurotic system (SMAS) dissection.
- Extended dissection superiorly over zygomaticus muscles and medially beyond nasolabial folds.
- Created a thick musculocutaneous flap including skin, subcutaneous cheek fat, and platysma muscle.
Main Results:
- Successfully operated on 403 patients with minimal complications.
- Demonstrated dramatic postoperative improvements in nasolabial fold appearance.
- Detailed step-by-step surgical techniques for face and neck dissection.
Conclusions:
- Deep-plane rhytidectomy offers a highly effective solution for nasolabial fold laxity.
- The described technique provides significant aesthetic enhancement in facelift surgery.
- This approach leads to improved outcomes for patients seeking correction of nasolabial folds.