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The "SMAS sling": an additional fixation in face lift surgery
Annals of Plastic Surgery
|January 1, 1984
Summary
A novel SMAS sling technique offers a secure method for facial rejuvenation. This surgical approach provides a significant upward and backward lift with minimal complications in patients.
Area of Science:
- Plastic Surgery
- Facial Anatomy
- Surgical Techniques
Background:
- Facial aging leads to sagging skin and loss of youthful contours.
- Current surgical techniques aim to restore facial structure and improve aesthetics.
- The superficial musculoaponeurotic system (SMAS) is a key anatomical layer for facial lifting.
Purpose of the Study:
- To introduce and evaluate a new surgical technique for facial lifting using a pennant-shaped SMAS sling.
- To assess the efficacy and safety of this SMAS sling procedure.
Main Methods:
- A pennant-shaped sling is created from the preauricular SMAS, maintaining inferior attachment.
- The SMAS sling is rotated posteriorly over the mastoid process.
- Tension is applied and the sling is secured to the mastoid fascia with nonabsorbable sutures.
Main Results:
- The technique provides a reliable backward and upward facial lift.
- The procedure was performed on 34 patients over a four-year period.
- Minimal complications and problems were observed in the patient cohort.
Conclusions:
- The pennant-shaped SMAS sling is an effective and safe method for facial rejuvenation.
- This technique offers a secure and reproducible approach to lifting the mid and lower face.
- Further studies may explore long-term outcomes and patient satisfaction.