Treatment of the Aging Face Using the “Round-lifting” Technique☆, ☆☆, ★

Pitanguy, Ivo; Radwanski, Henrique N.; Amorim, Natale F. Gontijo de

doi:10.1016/s1090-820x(99)70038-5

Cited by 16 publications

(6 citation statements)

References 17 publications

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“…Plást. 2019;34(1): [2][3][4][5][6][7][8][9] perform hemostasis after the systolic BP reaches ≥130 mmHg.…”

Section: Discussionmentioning

confidence: 99%

“…Initially, attempts to treat wrinkles were based on resections of skin bands associated with broad tissue detachment, with short-term results and poor-quality scars [1][2][3][4] . Indeed, superficial muscular aponeurotic system (SMAS) treatments represent a wide evolution in face-lift surgery, with more lasting and natural results than other treatments [1][2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

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Perioperative systematization for the prevention of hematomas following face-lift procedures: a personal approach based on 1,138 surgical cases

Cló¹,

Júnior²,

Leão³

et al. 2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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“…Plást. 2019;34(1): [2][3][4][5][6][7][8][9] perform hemostasis after the systolic BP reaches ≥130 mmHg.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perioperative systematization for the prevention of hematomas following face-lift procedures: a personal approach based on 1,138 surgical cases

Cló¹,

Júnior²,

Leão³

et al. 2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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“…11 Techniques that treat the pronounced nasolabial fold include traction of either skin flaps, the SMAS, or the fascial fatty layer, with variable results. [12][13][14][15][16][17][18][19] Filling with different substances may also be done, either with fat grafting or other material. Direct excision of the nasolabial fold, with resection of skin, is reserved for the older male patient.…”

Section: Figurementioning

confidence: 99%

The Round-Lifting Technique

Pitanguy¹

2000

Facial Plast Surg

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Aging of the face is a frequent complaint in today's youth-oriented society. Competition and successfulness, in social and professional circles, are intimately related to how a person reflects, in his or her physical appearance, an inner well-being. Regardless of chronologic age, it is imperative that the surgeon perform a problem-oriented, detailed analysis of the face and each subunit so that specific conditions can be individually assessed as they apply to the harmonic balance of the whole. It is generally assumed that the most common source of unfavorable results following a rhytidectomy is patient dissatisfaction. This fact stresses the importance of correctly identifying the patient's expectations. Therefore, perhaps as important as the technical procedure is a correct diagnosis of the deformity and a thorough interpretation of the psychological motivations of each patient. The real goal of treatment is to reestablish the patient's inner well-being and to balance how he or she interprets this self-image in relation to the external world, without denoting that a facial rejuvenation procedure has been done.

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“…The basics of some of the actual techniques are a wide undermining of the skin, the superficial musculoaponeurotic system (SMAS) [4] manipulation in the face and neck area, including a pull to each layer cranial-dorsally. Other techniques are doing a wide skin undermining and plication of the SMAS [5]. Most of these standard techniques have their focus on the techniques and the anatomical situation.…”

Section: Introductionmentioning

confidence: 99%

Presto lift—a facelift that preserves the retaining ligaments and SMAS tethering

Funk

2016

Oral Maxillofac Surg

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Background Producing youthful facial appearance by facelifting often comes along with an undesired loss of patient's individual phenotype. This may result from insufficient preservation of retaining ligaments, the Bguardians of facial identify,^and from severance of the intersegmental connections of the superficial musculo-aponeurotic system (SMAS), which tether, structure, and compartmentalize facial soft tissue into defined, relevant anatomical zones. Methods The technique reported here preserves most retaining ligaments. They serve to fix the facial soft tissue mass in loco. With the possible exception of the zygomatic-cutaneous ligament, they are only carefully distended. The SMAS intersegmental connections and the zygomatic SMAS border are preserved to retain effective points of facial tissue fixture. Agingassociated thinning and lengthening of the lower eyelid are reduced by midfacial-submalar preparation (Aston 1996). Subplatysmal preparation and disconnection of the cranialplatysmal border permits optimal modeling of neck structure. Results The combination of preservation of retaining ligaments and SMAS tethering (BPRESTO facelift^) introduced here as a novel face-lifting technique conserves the individual esthetics of the patient by approaching her/his individual phenotype from decades ago. In addition, undesired outcomes of facelift surgery and common risks of facelift surgery are circumvented. Conclusions The PRESTO facelift technique generates optimal esthetic results that conserve a patient's personal facial identity, besides restoring a more youthful appearance and being rapid and safe.

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Treatment of the Aging Face Using the “Round-lifting” Technique☆, ☆☆, ★

Cited by 16 publications

References 17 publications

Perioperative systematization for the prevention of hematomas following face-lift procedures: a personal approach based on 1,138 surgical cases

Perioperative systematization for the prevention of hematomas following face-lift procedures: a personal approach based on 1,138 surgical cases

The Round-Lifting Technique

Presto lift—a facelift that preserves the retaining ligaments and SMAS tethering

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