SMAS Graft of the Nasolabial Area during Deep Plane Rhytidectomy

Calderón, Wilfredo; Andrades, Patricio; Israel, Giorgio; Cabello, Rafael Cisneros; Léniz, Patricio

doi:10.1097/01.prs.0000128350.01249.79

Cited by 20 publications

(13 citation statements)

References 49 publications

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“…All of these 26 patients were female, with a mean age of 56.2 years. A total of 104 images (26 individual patients) were reviewed by 12 blinded observers, and graded for the superior lip and inferior lip independently.…”

Section: Resultsmentioning

confidence: 99%

Long-term Analysis of Lip Augmentation With Superficial Musculoaponeurotic System (SMAS) Tissue Transfer Following Biplanar Extended SMAS Rhytidectomy

Richardson

Rousso

Replogle

2017

JAMA Facial Plast Surg

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IMPORTANCE To our knowledge, long-term, objective results of lip augmentation using superficial musculoaponeurotic system (SMAS) tissue transfer beyond 1 year have not been previously described. OBJECTIVE To evaluate the efficacy, longevity, and safety of lip augmentation using SMAS tissue transfer. DESIGN, SETTING, AND PARTICIPANTS A retrospective single-blind cohort study was designed to evaluate all patients who underwent surgical lip augmentation using SMAS following rhytidectomy between January 1, 2000, and November, 16, 2015, at a private facial plastic surgery practice in Birmingham, Alabama. Preoperative photographs of each patient served as controls and were compared with postoperative photographs at 3 months, 1 year, and 5 years after lip augmentation. A total of 104 images (from 26 individual patients) were reviewed by 12 blinded observers using a validated lip augmentation grading scale. EXPOSURES Lip augmentation using SMAS. MAIN OUTCOMES AND MEASURES Median lip volumes of all patients at each postoperative interval (3 months, 1 year, and 5 years) compared with preoperative lip volumes. Secondary outcome measures included postoperative complications. RESULTS A total of 423 patients were identified who underwent surgical lip augmentation using SMAS. Sixty patients with approximately 5 years or more of postoperative photographs were reviewed for complications. Twenty-six patients had 3-month, 1-year, and 5-year postoperative follow-up photographs and were included in the photographic evaluation. The mean age of these patients at the time of surgery was 54.6 years (range, 41.2-80.6 years. Fifty-nine of the 60 patients (98.3%) were female. Two of 60 patients (3.3%) with 5 years or more of postoperative follow-up developed complications requiring intervention. Both the superior lip and the inferior lip showed statistically significant increases in volume at 3 months, 1 year, and 5 years (P Յ .004 for the superior lip after 5 years; P Յ .001 for all other comparisons) after SMAS lip augmentation. The greatest median increase was observed in the superior lip at 3 months, while the smallest median increase was observed for the inferior lip at 5 years. The degree of increase in median volume seemed to weaken slightly over time, but remained statistically significant even at 5 years. CONCLUSIONS AND RELEVANCE SMAS lip augmentation is an effective and safe method for lip augmentation that can yield natural, long-lasting results with minimal risk. The degree of augmentation tends to fade slightly over time, but remains significant for at least 5 years postoperatively. LEVEL OF EVIDENCE 3.

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Section: Resultsmentioning

confidence: 99%

Long-term Analysis of Lip Augmentation With Superficial Musculoaponeurotic System (SMAS) Tissue Transfer Following Biplanar Extended SMAS Rhytidectomy

Richardson

Rousso

Replogle

2017

JAMA Facial Plast Surg

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“…Static soft tissue suspensions are traditionally used to improve aging faces (Senechal et al, 1982;Calderón et al, 2004Calderón et al, , 2008. Use of a deep-plane facial lift in association with other static suspension techniques may achieve symmetry of the midface (Rubin and Simpson, 1996;Sasaki and Cohen, 2002;Sasaki et al, 2003).…”

Section: Discussionmentioning

confidence: 97%

Deep-planes lift associated with free flap surgery for facial reanimation

Biglioli

Frigerio

Autelitano

et al. 2011

Journal of Cranio-Maxillofacial Surgery

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“…Rather than discarding this fibrofatty tissue, the surgeon can implant it subcutaneously beneath the nasolabial fold as a single solid strip. Although a similar procedure has been described recently, 17 the efficacy of SMAS implantation in reducing the prominence of the nasolabial fold is described herein, to our knowledge, for the first time.…”

mentioning

confidence: 92%

Autologous Superficial Musculoaponeurotic System Graft as Implantable Filler in Nasolabial Fold Correction

Moody¹,

Dozier²,

Garza³

et al. 2008

Archives of Facial Plastic Surgery

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To determine whether superficial musculoaponeurotic system (SMAS) graft implantation can improve the appearance of the nasolabial fold. Methods: Single-blinded cohort study in a private facial plastic surgery practice. Treatment and control patients were selected from those presenting for aesthetic surgery. All patients underwent rhytidectomy with SMAS imbrication by a single surgeon. In addition, treatment patients underwent subcutaneous implantation of excised SMAS strips to the nasolabial fold. Treatment and control patients were matched for any other simultaneous procedures known to affect appearance of the nasolabial folds. Preoperative and postoperative photographs were graded by 3 blinded observers using the Wrinkle Severity Rating Scale to evaluate the nasolabial fold. Postoperative photographs were evaluated approximately 3 months and again 1 year after the procedure. Results: Compared with controls, there was a significant difference in the nasolabial folds of patients undergoing SMAS implantation at the 3-month postoperative evaluation (P=.03; 2 =4.696). This benefit was lost when the results were evaluated 1 year after the procedure (P=.88; 2 =0.0212). Conclusion: Superficial musculoaponeurotic system implantation to the nasolabial folds offers modest temporary improvement to this area in patients undergoing rhytidectomy with SMAS imbrication.

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SMAS Graft of the Nasolabial Area during Deep Plane Rhytidectomy

Cited by 20 publications

References 49 publications

Long-term Analysis of Lip Augmentation With Superficial Musculoaponeurotic System (SMAS) Tissue Transfer Following Biplanar Extended SMAS Rhytidectomy

Long-term Analysis of Lip Augmentation With Superficial Musculoaponeurotic System (SMAS) Tissue Transfer Following Biplanar Extended SMAS Rhytidectomy

Deep-planes lift associated with free flap surgery for facial reanimation

Autologous Superficial Musculoaponeurotic System Graft as Implantable Filler in Nasolabial Fold Correction

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