Facelift Surgical Techniques, An Issue of Facial Plastic Surgery Clinics of North America

1st Edition, Volume 28-3 - June 8, 2020
Editor: Andrew A. Jacono
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 0 8 3 9 - 5
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 0 8 4 0 - 1

This issue of Facial Plastic Surgery Clinics, guest edited by Dr. Andrew A. Jacono, is devoted to Facelift Surgical Techniques. This issue is one of four selected each year by the… Read more

Facelift Surgical Techniques, An Issue of Facial Plastic Surgery Clinics of North America

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This issue of Facial Plastic Surgery Clinics, guest edited by Dr. Andrew A. Jacono, is devoted to Facelift Surgical Techniques. This issue is one of four selected each year by the series Consulting Editor, Dr. J. Regan Thomas. Articles in this issue include: Extended Deep Plane Facelifting, Extended SMAS Flap Rhytidectomy, Vertical Platysma Advancement Deep Plane Facelifting, Incorporating Midline Platysmaplasty with Lateral SMAS Facelifting, Subunit, Approach to Facelifting and Facial Rejuvenation, Superficial and Deep Facial Anatomy and Its Implication for Rhytidectomy Surgery, Laser Assisted Facelifting and Energy-Based Rejuvenation Techniques During Rhyrtidectomy, Incorporating Fat Grafting with Facelift Surgery, Approaches to Reducing Risk in, Rhytidectomy Surgery, Nuances in SMAS Rhytidectomy, Less Invasive SMAS Approaches in Rhytidectomy, and Local Anesthesia Facelifting.

Cover image
Title page
Table of Contents
Copyright
Contributors
Facial Plastic Surgery Clinics of North America
Foreword
Preface
Superficial and Deep Facial Anatomy and Its Implications for Rhytidectomy
Key points
Introduction
Layers of the face
Layer I: skin
Layer III: superficial fascia (superficial musculoaponeurotic system)
Temporal region
Superficial fat of the face
Deep fat of the face
Facial nerve
Facial artery and vein
Facial ligaments
Biomechanics of the face
Summary
Subunit Approach to Facelifting and Facial Rejuvenation
Key points
Introduction
History of facial rejuvenation and anatomic principles
Topography of face and aging
Classic facial analysis and current understanding of beauty
Modern facial analysis and rejuvenation algorithms using the facial anatomic subunit analysis
Facial anatomic subunit analysis techniques
Zygomatic cheek subunit
Lateral cheek subunit
Buccal subunit
Medial cheek subunit
Temple subunit
Forehead and eyebrow
Periorbital unit
Lip and perioral subunit
Mental subunit and neck
Nose subunit
Technical considerations in rhytidectomy and associated surgical procedures for facial anatomic subunit analysis
Summary
Less Invasive Superficial Musculoaponeurotic System Approaches in Rhytidectomy: How, When, and Why
Key points
Background
Anatomy
Technique
Postoperative care
Complications
Nuances in Superficial Musculoaponeurotic System Rhytidectomy
Key points
Introduction
Anatomy
Patient selection
Patient evaluation
Marking incisions
Anesthesia
Surgical technique
Superficial musculoaponeurotic system grafting
Postoperative management
Complications
Summary
Extended Superficial Musculoaponeurotic System Flap Rhytidectomy
Key points
Introduction
The extended superficial musculoaponeurotic system flap rhytidectomy
Surgical technique
Summary
From the Deep-Plane Rhytidectomy to the Vertical Platysma Advancement
Key points
Introduction
Anatomy
Evaluation
Patient perspective
Surgical procedure
Aftercare
Complications
Summary
A Novel Volumizing Extended Deep-Plane Facelift: Using Composite Flap Shifts to Volumize the Midface and Jawline
Key points
Introduction
Midfacial aging: deep-plane composite shifts to volumize midface
Volumizing extended deep-plane midface surgical technique
Jawline Aging: Deep-Plane Composite Shifts to Volumize Jawline
Incorporating Midline Platysmaplasty with Lateral Superficial Muscular Aponeurotic System Facelifting
Key points
Introduction
Platysma anatomy
Indications for platysmaplasty
Patient assessment
Operative technique
Postoperative care
Outcomes
Discussion
Summary
Laser-Assisted Facelifting and Energy-Based Rejuvenation Techniques During Rhytidectomy
Key points
Aging demographics and facial rejuvenation procedures
Introduction to thermoplastic rhytidectomy
Technology-tissue interaction mediating thermoplastic rhytidectomy
Technology of devices used for thermoplastic rhytidectomy/fibroliposculpting
Surgical approaches and techniques for thermoplastic rhytidectomy involving thermal fibroliposculpting
Nonexcisional and platysmal modifications (thermoplastic rhytidectomy II)
Minimal excisional rhytidectomy with platysmal and superficial musculoaponeurotic system modifications (thermoplastic rhytidectomy III)
Conventional excisional rhytidectomy face & neck (thermoplastic rhytidectomy IV)
Conventional rhytidectomy and full facial resurfacing (thermoplastic rhytidectomy V)
Patient safety and complications of thermoplastic rhytidectomy
Summary
Incorporating Fat Grafting with Facelift Surgery: When, How, and Where
Key points
Characteristics and causes of facial aging and indications for fat grafting
How and where to perform autologous fat transfer
Patient consultation
Anesthesia, donor site preparation, and harvesting
Processing
Injection instruments and general concepts
Lower eyelid and lateral canthus
Superior orbital rim/glabella, forehead, temple, and upper eyelid
Cheek and perioral area
Mandible and chin
Summary
Local Anesthetic Facelift
Key points
Introduction
Patient selection
Levels of sedation in anesthesia
Lidocaine
Safe levels of local
Local anesthetic toxicity
Differences in local anesthetics
Bupivacaine issues
Methods of anesthesia
Straight local anesthesia
Nitrous oxide
Local anesthesia with oral/intravenous sedation
Music
Oxygen
Caution/safety protocols/monitoring
Surgical technique used by the author for local facelifting
Summary
Approaches to Reducing Risk in Rhytidectomy Surgery
Key points
Introduction
Understanding the problem
Hematoma
Infection
Nerve injury
Skin necrosis
Scars
Poorly designed incisions
Hair loss
Injury to the parotid gland
Irregular contour
The postoperative blues
The unhappy patient