Advances in Face-Lift Surgical Techniques: 2016–2021

Wei, Boxuan; Duan, Ran; Xie, Feng; Gu, Jieyu; Liu, Caiyue; Gao, Bowen

doi:10.1007/s00266-022-03017-z

Cited by 8 publications

(7 citation statements)

References 84 publications

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“…23,24 In general, Asian patients have larger faces than White patients and have protruding malar eminences. 26 Thus, as the force pulling the flap in front of the tragus is difficult to transmit to the fat in the medial NLF, the same improvement effects are not observed in Asian patients as in White patients. However, because the facial nerve runs superficially toward the distal side, excessive dissection to the medial side not only increases the risk of nerve injury but also makes the SMAS flap thinner.…”

Section: Discussionmentioning

confidence: 99%

Modified Deep-Plane Face Lift and Lower Midface Lifting Using Deep Fat Compartment Mobilization and Zygomaticus Major Muscle Plication

Kim¹,

Choi

Chung

2023

Plastic &Amp; Reconstructive Surgery

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Facial aging is caused by various factors. Radiation exposure, gravity, smoking, and hormonal changes lead to structural changes, including decreased skin elasticity, subcutaneous fat malposition, muscle aging, retention of ligament attenuation, and bone changes, leading to facial aging. 1,2 In the modern clinical setting, relatively noninvasive procedures, such as carbon dioxide laser resurfacing, and other invasive procedures, including face-lift surgery, are used to treat facial aging. 3 Traditionally, the face-lift technique involves stretching the loose facial skin. However, this technique was limited in terms of producing longlasting surgical results. In 1974, Skoog proposed a method of relocating subcutaneous fat and platysma muscles to improve facial aging by manipulating all of the soft tissue and skin. 4 Subsequently, Mitz and Peyronie introduced the superficial musculoaponeurotic system (SMAS), and various surgical methods that enable SMAS manipulation, such as SMAS plication and SMASectomy, Background: Most face-lift techniques greatly improve the lower face; however, techniques for lifting the midface are limited and difficult. Original deep-plane face lift is a way to lift the superficial musculoaponeurotic system and skin as a compound unit. Although it minimizes tear of the superficial musculoaponeurotic system during dissection, damage to the vascular system, and the incidence of skin necrosis, and can be easily used in secondary cases, the deep-plane face lift does not adequately improve nasolabial fold. The authors perform a modified and enhanced deep-plane face lift to improve the midface. In this article, the authors explain the effects and procedures of the method. Methods: This retrospective study included patients (n = 632) on whom deepplane face lift (DPF group; n = 299) and modified deep-plane face lift (M-DPF group; n = 333) was performed by a single surgeon from January of 2014 to January of 2017, and from February of 2017 to December of 2020, respectively, at a local clinic. The degree of improvement in wrinkles in the patients' nasolabial fold was assessed using the five-grade Wrinkle Severity Rating Scale (WSRS). Results: The preoperative WSRS score was 2.95 ± 0.89 in the DPF group and 2.89 ± 0.92 in the M-DPF group. There was no significant difference in the preoperative WSRS score between the two groups (P = 0.058). The postoperative WSRS score was 1.81 ± 0.68 in the DPF group, which was significantly greater than the 1.65 ± 0.66 found in the M-DPF group. Conclusion: This method developed by the authors that combines deep-plane face lift with deep fat compartment mobilization and zygomaticus major muscle plication is safe and directly improves the nasolabial fold and promotes a smiling expression for rejuvenation effects.

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Section: Discussionmentioning

confidence: 99%

Modified Deep-Plane Face Lift and Lower Midface Lifting Using Deep Fat Compartment Mobilization and Zygomaticus Major Muscle Plication

Kim¹,

Choi

Chung

2023

Plastic &Amp; Reconstructive Surgery

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“…[27][28][29][30] However, conventional facelifts carries more risks and side effects with a long recovery period. 31,32 The patients prefer noninvasive or minimally invasive facelifts surgical methods because have less side effects and have a shorter recovery period. Fat injection technique can create superior results without any adverse side effects.…”

Section: Discussionmentioning

confidence: 99%

New autologous fat implantation technique for face lifting: A pilot study

Lotfi,

Ahramiyanpour,

Khosravi

2024

J of Cosmetic Dermatology

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BackgroundAutologous fat injection techniques are specially performed to restore the lack of face volume.AimHowever, no reports have focused on the effect of sides of injection on the sagging appearance improvements and facial lifting. This study aimed to evaluate face lifting using the autologous fat injection in to sides of the face as a new technique.MethodsTen patients with aging face were involved in this study. The procedure was done in an anaerobic method. To improve the method, to make patients more satisfied and gain better cosmetic outcomes autologous fat was injected on the sides of the face. To give a lifting effect to the face, the fat was injected on the hairline in the temple area, next to the ear, the angel of the jaw and the angel of the mandible leaning behind the ear to cause face lift. The patients were appraised clinically and photographically.ResultsThe results showed that this autologous fat injection technique has significant improvement in face lifting.ConclusionThis new fat injection technique in sides of the face can create superior results on face lifting without any adverse side effects.

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“…In cosmetic surgery, the reason for dissecting and pulling the SMAS layer during face‐lifting procedures ultimately stems from the difficulty in achieving prolonged lifting effects by merely dissecting and pulling the skin and subcutaneous tissues. 21 Even skin pulled by thread insertion eventually reverts to its original position, firmly connected to the SMAS layer, and forcing excessive skin tension may engender various issues.…”

Section: Smas Repositioning Techniquementioning

confidence: 99%

SMAS repositioning technique utilizing cog thread: Anatomical perspectives

Hong,

Kim,

Park

et al. 2024

Skin Research and Technology

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IntroductionFace‐lifting surgeries were once common among individuals over 60 years old due to skin laxity, but recent trends favor thread lifting in this age group. Understanding dynamic changes in facial anatomy during postural shifts is essential.MethodFresh cadaver studies have demonstrated the passage of threads through the superficial musculoaponeurotic system (SMAS) layer, confirming the efficacy of the technique. Proper insertion depth targeting SMAS repositioning, rather than superficial skin layers, is crucial.ResultThe natural movement of tissues secured by thread (N‐Cog and N‐Fix, N‐Finders Inc., Korea) insertion results in lifting effects. However, complications may arise if threads affect deeper facial muscles, leading to discomfort. Fibrous septa play a significant role in guiding thread placement, with different densities influencing thread maneuverability and tissue response during lifting.ConclusionProcedures targeting SMAS repositioning using threads aim to maintain the new position of relocated tissues. Understanding structural variations in facial regions informs thread selection and placement. Aligning threads with tissue movement and the intended SMAS layer positioning is vital to prevent complications. Balancing thread insertion depth and tissue traction is critical for successful outcomes. Modern thread lifting techniques prioritize SMAS repositioning, enhancing lifting effects while ensuring procedure safety and efficacy.

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Advances in Face-Lift Surgical Techniques: 2016–2021

Cited by 8 publications

References 84 publications

Modified Deep-Plane Face Lift and Lower Midface Lifting Using Deep Fat Compartment Mobilization and Zygomaticus Major Muscle Plication

Modified Deep-Plane Face Lift and Lower Midface Lifting Using Deep Fat Compartment Mobilization and Zygomaticus Major Muscle Plication

New autologous fat implantation technique for face lifting: A pilot study

SMAS repositioning technique utilizing cog thread: Anatomical perspectives

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