The tri-plane face lift dissection

Area of Science:

• Plastic Surgery
• Facial Rejuvenation Techniques

Background:

• Facial rhytidectomy techniques have evolved over time.
• The Skoog technique initially involved no subcutaneous undermining.
• Advancements aim to improve aesthetic outcomes and reduce complications.

Purpose of the Study:

• To review a series of 750 rhytidectomies performed over eight years.
• To detail an evolving surgical technique for facial rejuvenation.
• To assess the impact of undermining on aesthetic results and complications.

Main Methods:

• Description of a tri-plane dissection technique.
• Upper face dissection in the subcutaneous plane.
• Lower face dissection in the sub-SMAS plane.
• Neck dissection in the preplatysmal plane.
• Analysis of 750 rhytidectomy cases.

Main Results:

• The current technique involves widespread undermining except in the lower face.
• The tri-plane dissection addresses different facial layers.
• No significant difference in aesthetic results was observed based on lower face undermining.
• The technique appears to minimize complications, especially hematoma.

Conclusions:

• Lower face undermining in rhytidectomy may not significantly impact aesthetic outcomes.
• The described tri-plane dissection technique appears effective in minimizing surgical complications, particularly hematoma.
• Surgical technique evolution in facial rejuvenation aims for improved safety and efficacy.