Plastic Surgery: Volume 2: Aesthetic Surgery

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…

Minimally invasive multimodal facial rejuvenation

Synopsis We have been performing “refreshing” techniques for the past 35 years, offering an alternative to the classical facelift for facial rejuvenation. We can start treating some of our patients at an earlier age, and, as well, improve the aspect…