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Updated: May 1, 2026
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
The extended SMAS approach to neck rejuvenation
Stephen W Perkins1, Heather H Waters2
1Department of Otolaryngology - Head and Neck Surgery, Indiana University School of Medicine, 702 Riley Hospital Drive, Indianapolis, IN 46202, USA; Meridian Plastic Surgery Center, 170 West 106th Street, Indianapolis, IN 46290-0970, USA.
Abstract:
Jowling, submental lipoptosis, and platysmal banding can affect self-image and reduce quality of life, leading one to seek facial and neck rejuvenation. With realistic expectations, a facelift can provide the desired improvement in appearance and sense of well-being. Before any intervention, a detailed history, focused examination, communication of expected outcomes with the assistance of preoperative digital imaging, and discussion of perioperative instructions are of utmost importance. Although many techniques exist, the modified deep plane extended superficial muscular aponeurotic system rhytidectomy with submentoplasty reliably delivers a significant improvement with lasting results.
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