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Strategies for nasolabial levitation
1Division of Plastic Surgery, University of California, Irvine, USA.
Clinics in Plastic Surgery
|April 1, 1995
Summary
This facelift technique involves precise preoperative markings and flap elevation. Key steps include releasing retaining ligaments and plicating muscles to reduce facial sagging and nasolabial folds.
Area of Science:
- Plastic Surgery
- Facial Anatomy
- Reconstructive Surgery
Background:
- Facial aging leads to sagging skin and loss of youthful contours.
- Rhytidectomy (facelift) aims to restore a more youthful appearance.
- Understanding facial anatomy is crucial for effective surgical techniques.
Purpose of the Study:
- To outline a detailed, step-by-step facelift strategy.
- To describe a method for addressing facial skin redundancy and sagging.
- To enhance the outcomes of rhytidectomy procedures.
Main Methods:
- Preoperative marking of incision and excision lines with the patient seated.
- Elevation of the skin/soft-tissue flap from the SMAS, platysma, and frontalis (SMA plane).
- Release of cheek retaining ligaments, plication of the zygomaticus major muscle, and suture suspension of modiolar retinacular tissue.
Main Results:
- The described technique effectively addresses intrinsic and surgically induced nasolabial redundancy.
- Preoperative markings provide a pattern for accurate skin excision.
- Surgical steps aim to restore facial structure and reduce sagging.
Conclusions:
- This systematic facelift approach offers a reproducible method for achieving facial rejuvenation.
- The technique combines anatomical understanding with surgical manipulation for optimal results.
- Effective management of skin laxity and deeper facial structures is key to successful rhytidectomy.