Plastic Surgery: Volume 2: Aesthetic Surgery

Neck rejuvenation

Synopsis ■ Aging is a global phenomenon affecting the entirety of the face. Therefore, the gold standard for neck rejuvenation is formal facelift surgery with both direct and ancillary techniques that address the neck concurrently. ■ Improvement in neck contour…

The lift-and-fill facelift

Synopsis ■ The science of facial aging as well as comprehensive knowledge of the anatomy of the facial fat compartments serve as the foundation of modern facial rejuvenation. Proper understanding of the fat compartments and danger zones in conjunction with…

Facelift: Lateral SMASectomy facelift

Synopsis ■ Because the procedure does not require traditional SMAS flap elevation, there is less concern about tearing of the superficial fascia. ■ The potential for facial nerve injury is lower because most of the deep dissection is over the…

Facelift: Platysma-SMAS plication

Synopsis ■ Predominantly oblique, but allows multivector traction to individualize the facelift. ■ Sutures placed closer to the point of lift have the best effect. ■ Delivers a good malar auto-augmentation. ■ Offers reduced downtime. ■ Safe and ideal for…

Principles and surgical approaches of facelift

Synopsis ■ Age-related changes occur in all layers of the face, including skin, superficial fat, superficial musculo-aponeurotic system (SMAS), deep fat, and bone. ■ Patients presenting for facial rejuvenation surgery are usually middle-aged or older, thus increasing the chance of…

Facial anatomy and aging

Access video lecture content for this chapter online at Elsevier eBooks+ Introduction The pathogenesis of facial aging is largely explained on an anatomical basis, particularly the variations in the onset and outcome of aging seen in different individuals. Surgical anatomy…