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Updated: Sep 23, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
The Extended Superficial Musculoaponeurotic System Deep Plane Facelift
Shirley Hu1, Stephen W Perkins1
1Department of Facial Plastic Surgery, Meridian Plastic Surgery Center, Indianapolis, Indiana.
Abstract:
Over the past four decades, the senior author has evolved and perfected his preferred method for face and neck lifting, the extended superficial musculoaponeurotic system deep plane rhytidectomy, and submentoplasty. With this procedure, the superficial musculoaponeurotic system layer is addressed both in the face and neck, repositioning the tissues in a superior and posterior vector and creating a sling in the cervicomental area. Outcomes have proven to be both successful and long lasting. In this article, a detailed update and discussion of the specific techniques utilized are provided.
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