The “Segmental SMAS Model”: A Didactic Concept of Face and Neck Lift Anatomy

2020 ◽  
Vol 36 (04) ◽  
pp. 337-350
Author(s):  
Holger G. Gassner ◽  
Ashish A. Magdum ◽  
Darinka Hanga
Keyword(s):  
Present Model ◽  
Surgical Anatomy ◽  
Face Lift ◽  
Teaching Fellows ◽  
Neck Lift ◽  
Anatomic Model ◽  
Plane Face ◽  
The Face ◽  
Face And Neck Lift

AbstractProfound understanding of the surgical anatomy of the face and neck is the key to successful face lift surgery. The “Segmental SMAS Model” presented herein is the result of a decade-long effort in teaching fellows a logical and coherent anatomic model of face lift anatomy. The superficial musculo-aponeurotic system (SMAS) consists of segments with distinct surgical characteristics. These are determined by the presence of a deep gliding plane and/or adhesion through fibrous insertions. In this article, we define SMAS segments that are profoundly heterogeneous in their behavior and have surgical implications on the maneuvers required for a deep plane face lift. The present model introduces several novel interpretations of the surgical anatomy of the face and neck lift procedure and hopes to convey a better understanding of face lift anatomy to training surgeons.

Combined Endoscopic Brow Lift, Deep-Plane Face Lift, and Neck Lift

1994 ◽  
Vol 8 (02) ◽  
pp. 54-83
Author(s):  
John Bostwick ◽  
Foad Nahai ◽  
Felmont Eaves
Keyword(s):  
Face Lift ◽  
Neck Lift ◽  
Brow Lift ◽  
Plane Face ◽  
Endoscopic Brow Lift

Maxillofacial Bony Considerations in Facial Transplantation

2021 ◽  
Author(s):  
Aurora G. Vincent ◽  
Anne E. Gunter ◽  
Yadranko Ducic ◽  
Likith Reddy
Keyword(s):  
Soft Tissue ◽  
Current Literature ◽  
Preoperative Planning ◽  
Surgical Anatomy ◽  
The Past ◽  
Facial Transplantation ◽  
Tissue Transfer ◽  
Reconstructive Ladder ◽  
The Face ◽  
Facial Wounds

AbstractAlloplastic facial transplantation has become a new rung on the proverbial reconstructive ladder for severe facial wounds in the past couple of decades. Since the first transfer including bony components in 2006, numerous facial allotransplantations across many countries have been successfully performed, many incorporating multiple bony elements of the face. There are many unique considerations to facial transplantation of bone, however, beyond the considerations of simple soft tissue transfer. Herein, we review the current literature and considerations specific to bony facial transplantation focusing on the pertinent surgical anatomy, preoperative planning needs, intraoperative harvest and inset considerations, and postoperative protocols.

Facelift Part II: Surgical Techniques and Complications

2021 ◽  
Author(s):  
Ahmed M Hashem ◽  
Rafael A Couto ◽  
Chris Surek ◽  
Marco Swanson ◽  
James E Zins
Keyword(s):  
Plastic Surgery ◽  
Surgical Techniques ◽  
Aesthetic Surgery ◽  
Program Directors ◽  
Recent Survey ◽  
Critical Reading ◽  
Neck Lift ◽  
Macs Lift ◽  
Face And Neck Lift

Abstract Although previous publications have reviewed face and neck-lift anatomy and technique from different perspectives, seldom were the most-relevant anatomical details and widely practiced techniques comprehensively summarized in a single work. As a result, the beginner is left with a plethora of varied publications that require sorting, re-arrangement, and critical reading. A recent survey of US plastic surgery residents and program directors disclosed less facility with facelift surgery when compared to aesthetic surgery of the breast and trunk. To this end four of the widely practiced facelift techniques (ie, MACS-lift, lateral-SMASectomy, extended-SMAS, and composite rhytidectomy) are described in an easy review format. The highlights of each are formatted followed by a summary of complications. Finally, the merits and limitations of these individual techniques are thoroughly compared and discussed.

Surgical Anatomy for Extended Facelift Techniques

2020 ◽  
Vol 36 (03) ◽  
pp. 309-316
Author(s):  
Ozcan Cakmak ◽  
Ismet Emrah Emre
Keyword(s):  
Facial Nerve ◽  
Soft Tissues ◽  
Extended Techniques ◽  
Surgical Anatomy ◽  
Superficial Musculoaponeurotic System ◽  
Increased Risk ◽  
The Face ◽  
Facial Soft Tissues ◽  
Relationship Of ◽  
The Relationship

AbstractPreservation of the facial nerve is crucial in any type of facial procedure. This is even more important when performing plastic surgery on the face. An intricate knowledge of the course of the facial nerve is a requisite prior to performing facelifts, regardless of the technique used. The complex relationship of the ligaments and the facial nerve may put the nerve at an increased risk of damage, especially if its anatomy is not fully understood. There are several danger zones during dissection where the nerve is more likely to be injured. These include the areas where the nerve branches become more superficial in the dissection plane, and where they traverse between the retaining ligaments of the face. Addressing these ligaments is crucial, as they prevent the transmission of traction during facelifts. Without sufficient release, a satisfying pull on the soft tissues may be limited. Traditional superficial musculoaponeurotic system techniques such as plication or imbrication do not include surgical release of these attachments. Extended facelift techniques include additional dissection to release the retaining ligaments to obtain a more balanced and healthier look. However, these techniques are often the subject of much debate due to the extended dissection that carries a higher risk of nerve complications. In this article we aim to present the relationship of both the nerve and ligaments with an emphasis on the exact location of these structures, both in regard to one another and to their locations within the facial soft tissues, to perform extended techniques safely.

Surgical anatomy of the face

1994 ◽  
Vol 15 (1) ◽  
pp. 81
Author(s):  
Brian P. Maloney
Keyword(s):  
Surgical Anatomy ◽  
The Face

Simultaneous Deep-Plane Face Lift and Trichloroacetic Acid Peel

1994 ◽  
Vol 93 (1) ◽  
pp. 86-93 ◽  
Author(s):  
David L. Dingman ◽  
Jeffrey Hartog ◽  
Maria Siemionow
Keyword(s):  
Trichloroacetic Acid ◽  
Face Lift ◽  
Plane Face

Some Tips on Face-Lifting

1979 ◽  
Vol 87 (4) ◽  
pp. 522-532 ◽  
Author(s):  
Jack R. Anderson ◽  
Calvin M. Johnson
Keyword(s):  
Surgical Procedure ◽  
Face Lift ◽  
The Past ◽  
The Face

The face-lift operation is not difficult for the well-trained otolaryngologist. However, as in every surgical procedure, there are certain techniques that facilitate its performance and improve results. This paper discusses some of these techniques that have been developed during the past 20 years.

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