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Related Experiment Video

Updated: Oct 6, 2025

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

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Quantifying Skin Removal During a Face-lift: Does the Approach Matter?

John P Fezza1, Julie Woodward2

  • 1Center for Sight, Sarasota, Florida.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|January 13, 2022
PubMed
Summary
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A.S.S.E.S.S. for Facial Fillers.

Journal of cosmetic dermatology·2024

This study quantifies skin removal in face-lift surgery, finding significant variation by area but no difference between SMASectomy and deep plane techniques. Midline corset platysmaplasty resulted in slightly more skin removal.

Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation
  • Aesthetic Surgery

Background:

  • Quantifying skin laxity and removal is crucial for effective facelift outcomes.
  • Understanding skin excision volumes aids in surgical planning and patient expectation management.
  • Variations in skin removal exist based on surgical technique and patient anatomy.

Purpose of the Study:

  • To measure the precise amount of skin excised around the ears during facelift procedures.
  • To compare skin removal volumes between SMASectomy and deep plane facelift techniques.
  • To evaluate the impact of midline corset platysmaplasty (MCP) on skin excision.

Main Methods:

  • A prospective study involving 150 consecutive facelift patients.
  • Quantitative measurement of skin removal at postauricular, preauricular, and temple regions.

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  • Statistical comparison of skin removal across different surgical approaches.

    • Main Results:

    • Average skin removal: 4 cm (postauricular), 2.4 cm (preauricular), 1.9 cm (temple).
    • No significant difference in skin removal between SMASectomy and deep plane techniques.
    • Midline corset platysmaplasty (MCP) was associated with a small but statistically significant increase in skin removal.

    Conclusions:

    • Quantitative data on skin removal provides valuable insights for surgeons and patients.
    • The choice between SMASectomy and deep plane techniques does not significantly alter the amount of skin removed.
    • MCP augmentation leads to slightly greater skin excision compared to standard facelifts.