Face Lift Using Dual Deep Tissue Support

Area of Science:

• Plastic Surgery
• Facial Rejuvenation Techniques
• Anatomical Approaches

Background:

• The study explores an advanced surgical technique for face and neck lifting, building upon Barton's superficial musculo-aponeurotic system (SMAS) concept.
• It involves extensive skin-attached SMAS/platysma flap elevation and a 'dual deep tissue support' method.

Purpose of the Study:

• To demonstrate a specific surgical procedure for face and neck lift.
• To evaluate the pitfalls and outcomes of this advanced technique.

Main Methods:

• The study included 83 patients aged 54-73 years.
• Pre- and 10-month postoperative photographs were analyzed for nasolabial folds, labiomental fold, and cervical band.
• Patient subjective aesthetic satisfaction was also assessed.

Main Results:

• 94% of patients showed minimal to mild nasolabial folds at 3-6 months postoperatively.
• 89.1% of patients reported satisfaction with their aesthetic outcomes.
• Minor complications included two hematomas (2.4%); no skin flap necrosis or permanent facial nerve injury occurred.

Conclusions:

• The extensive skin-attached SMAS/platysma flap elevation with dual deep tissue support provides immediate and long-lasting lifting effects.
• The technique, involving parotid-masseteric plication and SMAS/platysma repositioning, yields durable results without remission.
• High patient satisfaction and a low complication rate support the efficacy of this surgical approach.