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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

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Extended Superficial Musculoaponeurotic System Flap Rhytidectomy.

Vito Quatela¹, Alex Montague¹, J P Manning²

¹Quatela Center for Plastic Surgery, 973 East Avenue, Rochester, NY 14607, USA.

Facial Plastic Surgery Clinics of North America

|June 7, 2020

Summary

This summary is machine-generated.

This review discusses rhytidectomy (facelift) techniques, highlighting the extended sub-superficial musculoaponeurotic system (SMAS) approach. This method offers superior results for neck aging, jawline definition, and jowling, becoming essential for facial plastic surgeons.

Keywords:

Deep plane facelift Extended sub-SMAS rhytidectomy Facelift Rhytidectomy Sub-SMAS rhytidectomy

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Area of Science:

Plastic Surgery
Facial Rejuvenation
Anatomy

Background:

Rhytidectomy aims for safe, lasting facial soft tissue repositioning.
Various techniques exist, each with specific advantages.
The senior author's experience guides the review of current practices.

Purpose of the Study:

To review established rhytidectomy approaches.
To detail the senior author's preferred methods and practice patterns.
To emphasize the benefits of the extended sub-SMAS technique.

Main Methods:

Review of rhytidectomy literature and surgical techniques.
Discussion of the senior author's personal experience and methodology.
Focus on the extended sub-superficial musculoaponeurotic system (SMAS) dissection.

Main Results:

The extended sub-SMAS rhytidectomy technique yields optimal outcomes.
This technique significantly improves neck rhytids, cervicomental angle, and jawline definition.
It effectively addresses jowling and can be combined with deep plane dissection.

Conclusions:

The extended sub-SMAS rhytidectomy is a highly effective technique.
It provides superior aesthetic results in facial rejuvenation.
This approach is a valuable and indispensable tool for facial plastic surgeons.