Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Confocal Fluorescence Microscopy01:16

Confocal Fluorescence Microscopy

Confocal microscopy is an advanced microscopic technique. The prime advantage of the confocal microscope over other microscopy techniques is its ability to block the out-of-focus light from the illuminated samples using pinholes. It is widely used with fluorescence optics to obtain high-resolution, sharp contrast images. Unlike optical microscopes, confocal microscopes use a focused beam of light laser to scan the entire sample surface at different z-planes. These microscopes are, therefore,...
Tissue Renewal without Stem Cells01:23

Tissue Renewal without Stem Cells

After cellular or tissue damage, the resident stem cells present in the human body can locally repair and regenerate the damaged tissue or organ. However, even though some tissues do not have stem cells, they can repair and regenerate with the help of pre-existing cells. For example, beta cells of the pancreas and hepatocytes of the liver can divide to renew and regenerate the tissue. Here, both cell division and cell death are well regulated by homeostasis.
However, failure of such a system...
Whole Body Regeneration01:33

Whole Body Regeneration

Regeneration is the process of restoring injured or lost tissues, organs, or body parts. While simpler organisms generally show greater ability to regenerate their whole body, few complex animals show similarly exceptional regeneration. For example, planarian flatworms have a unique regenerative potential making them a popular study organism among biologists to understand the mechanisms of whole body regeneration. Other organisms, such as hydra, also show extreme regeneration potential; even...
Muscles for Facial Expressions01:14

Muscles for Facial Expressions

The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Subdomal Graft Control of Nasal Tip Aesthetics: A Long-term Digital Photographic Evaluation.

Aesthetic surgery journal·2026
Same author

iLips<sup>®</sup>: A 5-Years Experience with a Highly Reproducible Approach for Dynamic Lip Filler.

Aesthetic plastic surgery·2026
Same author

Anterolateral thigh-vastus lateralis flap for abdominal wall reconstruction: A systematic review.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2026
Same author

Orbicularis oculi selective-denervation (OOSD): A secondary long-term effect for crow's feet reduction following temporal subcutaneous brow lift with orbicularis repositioning.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2026
Same author

The Social Role of Plastic Surgery in the LGBTQIA+ Community: A Literature Review.

Aesthetic plastic surgery·2026
Same author

Osteocutaneous free flaps for reconstruction of composite hand defects: A systematic review of clinical and functional outcomes.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2026

Related Experiment Video

Updated: May 14, 2026

Holistic Facial Composite Creation and Subsequent Video Line-up Eyewitness Identification Paradigm
09:49

Holistic Facial Composite Creation and Subsequent Video Line-up Eyewitness Identification Paradigm

Published on: December 24, 2015

"TOTAL SMAS: A SYSTEMATIC APPROACH TO COMPREHENSIVE FACIAL REJUVENATION".

Michele Pascali1, Luca Savani2, Marco Gratteri2

  • 1Plastic Surgery Academy, Rome, Italy.

Plastic and Reconstructive Surgery
|January 28, 2026
PubMed
Summary

This study introduces Total SMAS, a comprehensive facial rejuvenation technique combining the orbicularis oculi muscle (OOM) flap with the SMAS/platysma flap. The approach significantly improved patient and surgeon satisfaction, achieving balanced rejuvenation from the periorbital area to the neck.

Keywords:
deep planeface liftperiorbital rejuvenationtemporal MORE

More Related Videos

Enhancement of Facial Rejuvenation Through a Combination of 1565 nm Non-Ablative Fractional Laser with 30% Supramolecular Salicylic Acid
03:47

Enhancement of Facial Rejuvenation Through a Combination of 1565 nm Non-Ablative Fractional Laser with 30% Supramolecular Salicylic Acid

Published on: September 27, 2024

Quantitative Assessment Protocol for Facial Soft Tissue Volumetric Changes with Stereophotogrammetry
06:26

Quantitative Assessment Protocol for Facial Soft Tissue Volumetric Changes with Stereophotogrammetry

Published on: December 9, 2025

Related Experiment Videos

Last Updated: May 14, 2026

Holistic Facial Composite Creation and Subsequent Video Line-up Eyewitness Identification Paradigm
09:49

Holistic Facial Composite Creation and Subsequent Video Line-up Eyewitness Identification Paradigm

Published on: December 24, 2015

Enhancement of Facial Rejuvenation Through a Combination of 1565 nm Non-Ablative Fractional Laser with 30% Supramolecular Salicylic Acid
03:47

Enhancement of Facial Rejuvenation Through a Combination of 1565 nm Non-Ablative Fractional Laser with 30% Supramolecular Salicylic Acid

Published on: September 27, 2024

Quantitative Assessment Protocol for Facial Soft Tissue Volumetric Changes with Stereophotogrammetry
06:26

Quantitative Assessment Protocol for Facial Soft Tissue Volumetric Changes with Stereophotogrammetry

Published on: December 9, 2025

Area of Science:

  • Plastic Surgery
  • Aesthetic Medicine
  • Facial Rejuvenation

Background:

  • Traditional face and neck lifts primarily address the lower face and neck, often neglecting the middle and upper facial thirds.
  • Aging of the periorbital area is significantly influenced by the orbicularis oculi muscle (OOM).
  • A comprehensive approach is needed to address aging across the entire face.

Purpose of the Study:

  • To describe and evaluate a comprehensive facial rejuvenation technique combining an OOM flap with the SMAS/platysma flap.
  • To assess patient and surgeon satisfaction with this "Total SMAS" approach.
  • To evaluate the efficacy of Total SMAS in rejuvenating the entire face, including the periorbital area.

Main Methods:

  • Prospective evaluation of 237 consecutive patients undergoing Total SMAS.
  • Preoperative and 12-month postoperative FACE-Q questionnaires for patient-reported outcomes.
  • Independent surgeon scoring of preoperative and postoperative photographs.
  • Recording and analysis of complications.

Main Results:

  • No major complications were reported.
  • Significant improvement in patient satisfaction (FACE-Q scores increased from 47.72 to 79.80, P < 0.05).
  • Significant improvement in surgeon-assessed outcomes (scores increased from 35.32 to 83.65, P < 0.05).
  • The technique provided powerful and balanced rejuvenation of the entire face, from the periorbital area to the neck.

Conclusions:

  • Total SMAS offers a comprehensive solution for aging face and neck defects by repositioning a single large flap.
  • Extending SMAS dissection upwards to the OOM allows for effective rejuvenation of the entire face.
  • This technique achieved remarkable patient and surgeon satisfaction in the studied cohort.