The Super-High SMAS Facelift Technique with Tailor Tack Plication

Guyuron, Bahman; Forootan, Nazilla Seyed; Katira, Kris

doi:10.1007/s00266-018-1223-x

Cited by 14 publications

(7 citation statements)

References 21 publications

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“…The initial search returned 3479 articles, which was reduced to 229 articles after review of title and abstract for relevant context. Full-text review yielded 65 relevant articles 3–7,11,21–27,29–35,37,41–87 (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…Antell and Orseck 26 published a retrospective review of face lifts performed on eight sets of High SMAS Frontal and oblique 3 Barton 5 High SMAS Frontal and oblique 3 Guyuron et al 42 High SMAS with SMAS plication Frontal and oblique 4 Marten 43 High SMAS Frontal and oblique 4 Stuzin 44 Extended SMAS Frontal and oblique 9 Hoefflin 11 Extended SMAS Frontal and lateral 3 Jones 45 Extended SMAS Frontal and oblique 2 Liu and Owsley 46 Extended SMAS Frontal and lateral 4 Lemmon and Hamra 47 Composite Frontal and lateral 5 Pina 48 Composite Oblique and lateral 3 Duffy and Friedland 25 SMAS plication Frontal, oblique, and lateral 2 Mottura 49 SMAS plication Frontal and lateral 4 Robbins et al 3 SMAS plication (medial) Frontal, oblique, and lateral 2 Baker 6 SMASectomy (short scar) Frontal and lateral 4 Rohrich et al 37 SMASectomy and SMAS plication Frontal, oblique, and lateral 4 Rohrich et al 50 SMASectomy and SMAS plication Frontal, oblique, and lateral 2 monozygotic twins. Face lift techniques included subcutaneous, SMASectomy, SMAS plication, and SMAS flap.…”

Section: Smas Elevation Techniques Are Associated With High Patient S...mentioning

confidence: 99%

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An Evidence-Based and Case-Based Comparison of Modern Face Lift Techniques

Avashia

Stuzin

Cason

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Background: Facial aging is a multifactorial process that affects each component of facial anatomy. The two general groups of face lift techniques are superficial musculoaponeurotic system (SMAS) elevation and SMAS manipulation. The purpose of this article is to describe and compare the advantages, disadvantages, and limitations of face lift techniques. Methods: A systematic review was performed to describe current outcomes evidence for face lift techniques. A subcohort of articles was selected for case-based analysis based on designated facial assessment criteria. Analysis was performed to determine the advantages, disadvantages, and limitations of each respective technique. Results: A total of 65 articles were selected for systematic review, of which 15 met criteria for case-based review. Patient satisfaction was found to be equivocal for various face lift techniques. Specific advantages and disadvantages for each face lift technique were dependent on the techniques’ approach to skin shift vector along with its degree of mobilizing superficial facial fat. Facial fat grafting was universally applicable for restoration of deep malar volume. Facial fat grafting was also used differently depending on the SMAS technique to address its specific limitations. Conclusions: The authors’ review confirms that there are many methods to obtain excellent outcomes in facial rejuvenation. Experienced surgeons are able to obtain consistent results through a variety of techniques based on understanding the aesthetic needs of the individual patient, the quality of the soft tissues being manipulated, and how to vary a specific technique to reach desired aesthetic end points.

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Section: Resultsmentioning

confidence: 99%

Section: Smas Elevation Techniques Are Associated With High Patient S...mentioning

confidence: 99%

An Evidence-Based and Case-Based Comparison of Modern Face Lift Techniques

Avashia

Stuzin

Cason

et al. 2023

Plastic &Amp; Reconstructive Surgery

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“…Although high SMAS lamellar facelift surgery has yielded very good results, it is still open to improvement. These improvements may include adding tailor tack sutures to the SMAS in the buccal area, lifting the upper border of the SMAS higher, combining fat injections, and stretching in various planes to further reduce deformities in the nasolabial fold 40–42 . Besides, anatomical and cadaver studies for the frontal branch of the facial nerve have further encouraged the surgeons 38 .…”

Section: Discussionmentioning

confidence: 99%

High Superficial Musculoaponeurotic System Lamellar Facelift Under Local Anesthesia

Ors¹

2021

Journal of Craniofacial Surgery

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Purpose: Patients, nowadays, prefer easy, low-risk, day-case procedures under local anesthesia for facial rejuvenation. Therefore, they favor facelift operations applied under local anesthesia. Materials and Methods: A total of 160 patients who underwent high superficial musculoaponeurotic system (SMAS) lamellar facelift under local anesthesia between 2010 and 2020 were included in this study. Patients operated under general anesthesia were excluded from this study. High SMAS lamellar facelift under local anesthesia was performed in all patients, consisting of 145 women and 15 men without any additional disease aged between 38 and 65 years. About 140 of these patients underwent primary facelift, whereas 20 of them had undergone SMAS plication more than 10 years ago. Lidocaine was used as a local anesthetic and the patients were not sedated. The duration of the operation was 80 minutes on average. The patients were left to rest for 1 hour after the operation and then sent home until their followup every other day for the first week.Results: This study shows that high SMAS facelift operations for the mid-face can easily be performed under local anesthesia under operating room conditions without sedation. However, an important point to keep in mind is that although the results of this surgery satisfy the patients, the outcomes do not entirely match the expectations from total face and neck lift performed under general anesthesia. High SMAS facelift with local anesthesia should be considered as an alternative for patients who do not want to undergo general anesthesia or who are at risk of undergoing general anesthesia. Especially during the COVID-19 pandemic, local anesthesia was considered much safer for the patients.

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“…The surgical techniques for treating these conditions are numerous : some are limited to the skin undermining [15] , others reach deeply into the periosteum, but most of the tecniques involve in various ways the superficial aponeurotic system [13,14,15] , which is put back in tension, plicated or detached [14,15] . The procedures have undergone a considerable evolution following a more precise and detailed knowledge of the compartments of the facial anatomy [12,13,14,16] . The superficial muscular aponeurotic system is greatly involved in the changes associated with aging [12] .…”

Section: Discussionmentioning

confidence: 99%

SMAS-flap transposition in Lower Face-lift

C¹

2021

AJSRR

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The superficial musculoaponeurotic system is of fundamental importance in facial anatomy. One of its primary functions is to harmoniously integrate the facial mimic muscles by coordinating their movements with each other. The continuity of the superficial musculoaponeurotic system with the platysma also creates an effective unitary connection with the mandibular and cervical areas. For these areas, where the signs of aging are first shown with soft tissue ptosis and cervical bands, we propose our lower face-lift technique with SMAS-flap transposition. This technique is not characterized by the section of the aponeurosis at the earlobe or lower level and by its rotation, but it is characterized by an higher SMAS section at tragus level with transposition of the mobilized pre-parotid and platysma aponeurosis to the high mastoid area. This manoeuvrer allows us for an effective platysma extension-lift and for his secure fixation to the upper mastoid area, resulting in greater stability and duration of the treatment.

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The Super-High SMAS Facelift Technique with Tailor Tack Plication

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 14 publications

References 21 publications

An Evidence-Based and Case-Based Comparison of Modern Face Lift Techniques

An Evidence-Based and Case-Based Comparison of Modern Face Lift Techniques

High Superficial Musculoaponeurotic System Lamellar Facelift Under Local Anesthesia

SMAS-flap transposition in Lower Face-lift

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