Put Your Face Lift on Hold with Lasers
In this article, the authors set out to lay a foundation for successful perioperative management of the face-lift patient. They describe the changes of normal facial aging in an attempt to help one recognize the universal way the face is affected by aging. Having a clear understanding of these factors may help to guide the physician with procedures necessary to offer the patient for a desired outcome. Also, the authors emphasize the preoperative assessment and postoperative care necessary to ensure a successful, low-risk operation with minimal downtime and beautiful results, meeting the patient ’s expectations.
The minimal access cranial suspension (MACS) face-lift is a minimally invasive face and neck lift that uses the understanding of the changes in facial anatomy as it relates to facial aging. The MACS face-lift uses a shorter incision with limited subcutaneous undermining. It achieves a resuspension of the underlying neck and midface soft tissues with the use of looped, purse-string sutures in the superficial musculoaponeurotic system and platysma. These attenuated structures are anchored to the deep temporal fascia. In the properly selected patient, the MACS facelift is an effective technique with high levels of physician a...
The lateral superficial musculoaponeurotic system –ectomy (SMASectomy) is a safe, versatile, and easily reproducible technique in facelift surgery. The ability to resect a portion of the superficial musculoaponeurotic system (SMAS) over the junction of the mobile and fixed SMAS produces a powerful lift with similar aesthetic results to a traditio nal SMAS flap, but without the additional risks of nerve injury. The ability to alter the vector of motion of the underlying SMAS makes the technique adaptable to a variety of facial characteristics. The lateral SMASectomy is a viable and powerful method that has stood the test of time.
This article discusses the various nonsurgical treatments that can be performed in combination with face-lift surgery to provide patients with a more complete facial rejuvenation. Nonsurgical adjuncts focus on facial volume enhancement, skin resurfacing, intense pulsed light for pigmentary changes, neuromodulators, and skin care in addition to the surgical techniques used to combat facial aging. Several options exist for skin resurfacing, including dermabrasion, chemical peels, and lasers; the advantages and limitations of each are discussed. Photographs demonstrating the effectiveness of nonsurgical treatments to face-lif...
The Electronic Supplementary Material originally published with this article has been removed due to lack of appropriate permissions from the copyright holder.
This article describes the surgical and medical modifications that need to be considered in the MWL facelift to ensure a successful outcome.
The extended superficial musculoaponeurotic system (SMAS) facelift targets the 2 cardinal signs of facial aging: (1) descent of the malar fat resulting in deepening of the nasolabial folds as well as accentuation of the palpebral malar groove and tear trough deformity; (2) formation of jowls, which also obscure the definition of the lower mandibular border. In this article the authors describe the concepts behind the extended SMAS operation, importantly the extent of skin dissection and SMAS elevation. They present a brief history of the operation and landmark papers and supplement with fresh cadaver dissections.
This article is supplemented by fresh cadaver anatomic dissections.
DiscussionLED-RL is a therapeutic modality of increasing importance in dermatology, and has the potential to limit skin fibrosis clinically by decreasing dermal fibroblast activity and collagen production. The administration of LED-RL phototherapy in the early postoperative period may optimize wound healing and prevent excessive scarring. The results from this study may change the current treatment paradigm for fibrotic skin diseases and help to pioneer LED-RL as a safe, non-invasive, cost-effective, portable, at-home therapy for scars.Trial registrationClinicalTrials.gov,NCT03795116. Registered on 20 December 2018.
This article presents a detailed overview of facial fat compartment anatomy and examines its role in facial rejuvenation. A good understanding of facial fat compartment anatomy cannot be overemphasized. In combination with methodical preoperative visual analysis, this allows surgeons to target the specific areas that have undergone deflation with fat grafting before selective SMAS manipulation.