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Composite rhytidectomy and the nasolabial fold
1Division of Plastic Surgery, University of Texas Southwestern Medical School, Dallas, USA.
Clinics in Plastic Surgery
|April 1, 1995
Summary
Composite rhytidectomy repositions deep facial structures like the platysma muscle and cheek fat within a specialized flap. This technique effectively rejuvenates the midface, significantly improving the nasolabial fold for a harmonious appearance.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Techniques
- Anatomy of Aging
Background:
- Aging affects deep facial structures, including the midface.
- Traditional rhytidectomy may not fully address deep aging components.
- Harmonious facial rejuvenation requires addressing multiple anatomical layers.
Purpose of the Study:
- To describe the composite rhytidectomy technique.
- To highlight the importance of repositioning deep aging anatomic components.
- To evaluate the effectiveness in improving the nasolabial fold.
Main Methods:
- Elevation of deep aging anatomic components of the midface within a skin flap.
- Utilizing a bipedicled musculocutaneous flap for repositioning.
- Inclusion of platysma muscle, cheek fat, and orbicularis oculi muscle in the flap.
Main Results:
- The composite rhytidectomy technique effectively elevates and repositions deep facial structures.
- Significant improvement in the nasolabial fold was observed.
- The technique facilitates harmonious rejuvenation of the aging face and forehead.
Conclusions:
- Composite rhytidectomy is a comprehensive approach to facial aging.
- Repositioning deep facial elements is crucial for effective rejuvenation.
- This technique offers a harmonious and effective solution for midface aging.