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Updated: Apr 13, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Management of the midface during rhytidectomy
Harry Mittelman1, Meir Hershcovitch1
1Mittelman Plastic Surgery Center, 810 Altos Oaks Drive, Los Altos, CA 94085, USA.
Abstract:
No nonsurgical technique can come close to rejuvenating the face like a cervicofacial rhytidectomy. However, one of the most difficult areas to improve during a facelift is the midface. The multi-vector high superficial musculoaponeurotic system (SMAS) facelift and extended lower-lid midface lift are important techniques that can adequately address the midface during rhytidectomy. The multi-vector high SMAS facelift is a natural extension of a traditional SMAS plication or imbrication facelift. The extended lower-lid midface lift can be an important adjunct during a facelift or as an independent procedure to address the midface.
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