SMAS Plication in Superficial Plane & Bichectomy in Facial Lifting

SMAS Plication in Superficial Plane & Bichectomy in Facial Lifting

Main Article Content

Sergio Olate
Márcio de Moraes

Abstract

The facial lifting show a favorable evolution in the last years; some technical modifications and the mixture with another procedures can make a more favorable results, with predictability and low morbidity. The aim of this paper is to show a mixture of two surgical techniques to obtain complimentary results in facial lifting. The technique of facial lifting with SMAS plication and bichectomy are frequently used in facial plastic surgery; the combined work of both procedures allow a reduction in the adipose tissue in the lateral and middle side of the buccal area, showing better esthetical results with a low morbidity.

References

Baker, D. C. Lateral SMASectomy. Plast. Reconstr. Surg., 100:509-13, 1997.

Berry, M.G. & Davies, D. Platysma-SMAS plication facelift. J. P.R.A.S., 63:793-800, 2010.

Ghali, G. E. & Smith, B.R. A case for superficial rhytidectomy. J. Oral Maxillofac. Surg., 56:349-51, 1998.

Griffin, J. E. & Jo, C. Complications after superficial plane cervicofacial rhytidectomy: a retrospective analysis of 178 consecutive facelifts and review of the literature. J. Oral Maxillofac. Surg., 65:2227-34, 2007.

Keller, G.; Quatela, V.; Antunes, M.; Sykes, J.; Magill, C. & Seth, R. Midface lift: panel discussion. Facial Plast. Surg. Clin. N. Am., 22:119-37, 2014.

Jones, B.M. Facelifting: an initial eigth year experience. Br. J. Plast. Surg., 48:203-11, 1995.

Hamra, S.T. The deep plane rhytidectomy. Plast. Reconstr. Surg., 86:53-61, 1990.

Hamra, S.T. The zygorbicular dissection in composite rhytidectomy: an ideal facial plane. Plast. Reconstr. Surg., 102:1646-57, 1998.

Ivy, E.J.; Lorenc, P.Z. & Aston, S.J. Is there a difference? A prospective study comparing lateral and standard SMAS facelifts with extended SMAS and composite rhytidectomies. Plast. Reconstr. Surg., 98:1135-1143, 1996.

Leach, J.L. Facelift. Op. Tech. Otolaryngol., 18:189- 94, 2007.

Owsley, J.Q. Platysma-fascial rhytidectomy: a preliminary report. Plast. Reconstr. Surg., 59:843-50, 1977.

Mendelson, B.C. Surgery of the superficial musculoaponeurotic system: principles of release, vectors, and fixation. Plast. Reconstr. Surg., 107:1545-1552, 2001.

Tobin, H.; Cuzalina, A.; Tbaranon, W. & Sinn, D. The biplane facelift: an opportunistic approach. J. Oral Maxillofac. Surg., 58:76-85, 2000.

Saylan, Z. Purse string-formed plication of the SMAS with fixa- tion to the zygomatic bone. Plast. Reconstr. Surg., 110:667-71, 2002.

Stuzin, J.M.; Baker, T.J.; Baker, T.M. Refinements in face lifting: enhanced facial contour using vicryl mesh incorporated into SMAS fixation. Plast. Reconstr. Surg., 105:290-301, 2000.