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Updated: Dec 19, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Less Invasive Superficial Musculoaponeurotic System Approaches in Rhytidectomy: How, When, and Why.

Sidney J Starkman1, Devinder S Mangat1

  • 1Holzapfel & Lied Plastic Surgery, Cincinnati, OH, USA.

Facial Plastic Surgery Clinics of North America
|June 7, 2020
PubMed
Summary
This summary is machine-generated.

Aggressive neck rejuvenation techniques in rhytidectomy significantly improve results. However, more aggressive midface surgery during modified deep plane rhytidectomy increases complications without necessarily enhancing long-term outcomes.

Keywords:
FaceliftNeck liftRhytidectomySMAS

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Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation

Background:

  • Facial plastic surgery aims to maximize rejuvenation while minimizing adverse effects.
  • Increasing surgical aggression can improve outcomes but also increases complication risks.

Purpose of the Study:

  • To evaluate the impact of surgical aggression on neck and midface rejuvenation outcomes in rhytidectomy.
  • To determine the ideal balance between rejuvenation and complication rates.

Main Methods:

  • Analysis of outcomes from aggressive surgical techniques in the neck region during rhytidectomy.
  • Assessment of aggressive midface treatment within modified deep plane rhytidectomy.

Main Results:

  • Aggressive neck rejuvenation techniques significantly improved both initial and long-term results.
  • More aggressive midface treatment did not consistently improve long-term outcomes and elevated complication rates.

Conclusions:

  • Aggressive surgical approaches are beneficial for neck rejuvenation in rhytidectomy.
  • Caution is advised with aggressive midface treatment during modified deep plane rhytidectomy due to increased complications.