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Deep Plane Facelift: An Evaluation of the High-SMAS versus Standard Incision Points
Jordan P Sand1, Chiara Andretto Amodeo2,3, Vishad Nabili4
1Spokane Center for Facial Plastic Surgery, Spokane, Washington.
Facial Plastic Surgery : FPS
|December 5, 2018
Summary
A novel high-SMAS entry point for deep plane facelifts significantly increases vertical and horizontal tissue movement compared to standard entry points. This technique offers enhanced facial contouring and a more pronounced lift in aging face surgery.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Anatomy
Background:
- Superficial musculoaponeurotic system (SMAS) manipulation is key in aging face surgery.
- Conventional deep plane facelift entry points may limit vertical tissue repositioning.
Purpose of the Study:
- To compare tissue movement between conventional and high-SMAS entry points in deep plane facelifts.
- To quantify the vertical and horizontal lift achieved by each technique.
Main Methods:
- Intraoperative measurement of tissue movement at three jawline points in 14 facelift patients.
- Comparison of SMAS suspension using standard versus high-SMAS entry points.
Main Results:
- High-SMAS entry yielded significantly greater vertical (77.3% increase) and horizontal (61.4% increase) tissue movement.
- Average vertical lift increased from 10.3 mm to 17.9 mm.
- Average horizontal lift increased from 5.7 mm to 9.8 mm.
Conclusions:
- The high-SMAS entry point provides a significant improvement in both vertical and horizontal vectors for deep plane facelifts.
- This technique enhances facial contouring and offers a more substantial lift compared to conventional methods.
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