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Related Experiment Video

Updated: May 28, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
19:53

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

Published on: March 1, 2015

Double-Sling Composite Facelift.

Ali Rıza Öreroğlu1

  • 1Dr. Öreroğlu Plastic Surgery Clinic, Kuruçeşme Mah. Arnavutköy Kuruçeşme Cd. No: 4 - Beşiktaş, 34345, Istanbul, Turkey. dr@oreroglu.com.

Aesthetic Plastic Surgery
|May 26, 2026
PubMed
Summary
This summary is machine-generated.

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This study introduces a novel double-sling technique for facelifts, effectively elevating the midface, lower face, and neck. The technique offers strong, long-lasting facial rejuvenation with a quicker recovery.

Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation Techniques
  • Anatomical Stabilization

Background:

  • Traditional facelift techniques, including plication and SMAS flap methods, have limitations in midface lifting and longevity.
  • Midface dissatisfaction is common due to recurrences and insufficient lifting with existing methods.
  • Achieving true midfacial mobility requires zygomatic ligament release and SMAS stabilization or subperiosteal repositioning.

Purpose of the Study:

  • To introduce a novel SMAS (superficial musculoaponeurotic system) flap technique using two SMAS slings.
  • To achieve three-vector elevation and stabilization of the face, neck, and midface.
  • To provide a strong, effective, and long-lasting facial rejuvenation solution.

Main Methods:

  • A modified composite facelift and necklift was performed on 72 patients (ages 39-75).
Keywords:
Composite faceliftDeep planeFaceliftHigh-SMASMidface liftNeckliftSMASTemporal tunnel

Related Experiment Videos

Last Updated: May 28, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
19:53

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

Published on: March 1, 2015

  • Two SMAS sling flaps were elevated and prepared in addition to a high-SMAS flap.
  • The superior sling flap was secured to the temporal fascia for midface elevation, and the inferior sling flap to the mastoid fascia for neck lifting.

    • Main Results:

    • The double-sling technique provides robust SMAS stabilization to the temple and mastoid fascia.
    • Achieved midfacial elevation in a more vertical vector, lower face in an oblique vector, and neck in a transverse vector.
    • Demonstrated effective and natural-looking facial rejuvenation with strong, long-lasting results.

    Conclusions:

    • The double-sling composite facelift technique effectively mobilizes and stabilizes the SMAS in three vectors.
    • This approach achieves enhanced rejuvenation through sub-SMAS dissection and ligament release.
    • The technique promises prolonged longevity and quicker recovery due to limited skin dissection.