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Related Concept Videos

Muscles for Facial Expressions01:14

Muscles for Facial Expressions

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The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...
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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Deep plane face lifting for midface rejuvenation.

Neil A Gordon1, Stewart I Adam2

  • 1Section of Otolaryngology, Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, Yale Physicians Building, 4th Floor, 800 Howard Avenue, New Haven, CT 06510, USA; New England Surgical Center, The Retreat at Split Rock, 539 Danbury Road, Wilton, CT 06897, USA.

Clinics in Plastic Surgery
|December 3, 2014
PubMed
Summary
This summary is machine-generated.

The deep-plane midface lift provides superior facial rejuvenation by repositioning deeper facial tissues. This surgical technique ensures natural, long-lasting results with minimal visible tension.

Keywords:
Aesthetic surgeryAging faceDeep planeFaceliftMidfaceRhytidectomy

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Area of Science:

  • Plastic Surgery
  • Facial Anatomy
  • Aesthetic Medicine

Background:

  • Aging leads to descent of facial soft tissues.
  • Nonsurgical techniques offer limited correction of deeper aging.
  • Understanding facial anatomy is crucial for effective rejuvenation.

Purpose of the Study:

  • To evaluate the deep-plane midface lift for facial rejuvenation.
  • To highlight the anatomical basis for this surgical approach.
  • To compare its efficacy with nonsurgical methods.

Main Methods:

  • Surgical "degloving" in the sub-SMAS plane.
  • Resuspension of the platysma/SMAS unit.
  • Anatomic analysis supporting the surgical plane.

Main Results:

  • Achieved more complete repositioning of facial soft tissue.
  • Provided direct treatment of deeper anatomical aging.
  • Minimized complications due to a well-vascularized flap.

Conclusions:

  • The deep-plane midface lift offers significant advantages for midface rejuvenation.
  • This technique yields consistent, natural, and long-lasting aesthetic results.
  • Optimal outcomes are achieved with tension at the fascial level.