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Related Experiment Video

Updated: Dec 13, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Facelift With Power-Assisted Dissection: A Preliminary Report.

Steven R Cohen1, Sierra Hewett2, Patrick Baraf

  • 1University of California, San Diego, CA, USA.

Aesthetic Surgery Journal
|July 30, 2020
PubMed
Summary
This summary is machine-generated.

The ABC facelift is a new 3-step procedure for facial rejuvenation, combining fat grafting and advanced dissection techniques. This innovative facelift method offers faster procedures, reduced bleeding, and shorter recovery times for patients seeking to address aging signs.

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Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation Techniques
  • Aesthetic Medicine

Background:

  • Subcutaneous skin elevation is a fundamental aspect of all facelift procedures.
  • Addressing signs of aging like photodamage, laxity, and volume loss is crucial in facial aesthetics.

Purpose of the Study:

  • To introduce the ABC facelift, a novel 3-step surgical technique.
  • To evaluate the ABC facelift's efficacy in treating photodamage, soft tissue laxity, and volume loss.

Main Methods:

  • The ABC facelift involves three key steps: adipose grafting, Baraf elevator use with hydrodissection, and cautery dissection of the superficial muscular aponeurotic system (SMAS) and platysma.
  • Anatomic and regenerative adipose grafting is performed before skin elevation.
  • Hydrodissection with tumescent solution facilitates skin flap takedown, followed by cautery dissection of SMAS and platysma.

Main Results:

  • The ABC facelift procedure was performed on 34 patients (aged 50-77).
  • Skin flap and SMAS elevation were expedited (10-15 minutes per hemiface) compared to traditional methods.
  • Reduced bleeding (12 mL), improved flap perfusion, less bruising, and shorter recovery/downtime were observed.

Conclusions:

  • The ABC facelift effectively addresses facial laxity, volume loss, and skin aging through a 3-step process.
  • The technique integrates fat grafting with power-assisted skin dissection and SMAS elevation.
  • Further research into advanced hydrodissection tools for enhanced layer separation is ongoing.