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Related Experiment Video

Updated: Jun 18, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

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Limited Delamination Modifications to the Extended Deep Plane Rhytidectomy: An Anatomical Basis for Improved

Michael Roskies1, Dominic Bray2, Neil A Gordon3,4

  • 1Yorkville Plastic Surgery Centre, Toronto, Canada.

Facial Plastic Surgery & Aesthetic Medicine
|July 29, 2024
PubMed
Summary

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This study on limited delamination deep plane rhytidectomy shows surgeons perceive improved outcomes and biomechanics. Complication rates for face and neck lifts were low, with fewer revisions needed.

Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation Techniques
  • Anatomy in Aesthetic Surgery

Background:

  • Introduction of modified limited delamination techniques for deep plane face and neck lifts.
  • Addressing the need for refined surgical approaches in rhytidectomy.
  • Building upon established deep plane rhytidectomy principles.

Purpose of the Study:

  • To evaluate surgeon perceptions of modified limited delamination deep plane rhytidectomy.
  • To establish the anatomical rationale for these surgical variations.
  • To report complication rates associated with the technique.

Main Methods:

  • Retrospective multi-institutional chart review of 3964 patients.
  • Inclusion of data from six experienced surgeons.

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Last Updated: Jun 18, 2025

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  • Collection of surgeon-reported outcomes and complications.

    • Main Results:

    • High proportion of female patients (87.9%), mean age 58 years.
    • Low revision rate (0.8%), with perceived improvements in flap management and biomechanics.
    • Low complication rates: hematoma (1.9%), seroma (2%), minor infection (1.4%).

    Conclusions:

    • Limited delamination extended deep plane rhytidectomy is supported by anatomical evidence.
    • The technique demonstrates low complication rates and surgeon-perceived favorable long-term outcomes.
    • Further prospective studies are warranted to compare outcomes of evolving techniques.