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Secondary Upper Blepharoplasty: Converting Static Folds Into Dynamic Folds.
[BACKGROUND] For the patients seeking secondary upper blepharoplasty, a static double-eyelid fold featuring an immobile lower flap and depression of the fold is common. [OBJECTIVES] In this study, the authors propose a novel technique of r…
- Commentary on: A Novel Method for Lower Blepharoplasty: Repositioning of the Orbital Septum Using Inverted T-Shaped Plication.
- Commentary on: Total Composite Flap Facelift and the Deep-Plane Transition Zone: A Critical Consideration in SMAS-Release Midface Lifting.
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Building the Composite Face Lift: A Personal Odyssey.
This article is a 42-year history of the development of a comprehensive face-lift technique by the author. It describes how the composite rhytidectomy has been constructed, anatomical area by anatomical area, over the author's lifetime care…
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Cosmetic Body Lift.
[BACKGROUND] High-tension lateral abdominoplasty provides ideal central contouring of the abdomen, but it inadequately addresses laxity and fullness in the flank and lateral thigh. The adjunct of liposuction improves abdomen contour, but ex…
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Identical twin face lifts with differing techniques: a 10-year follow-up.
To evaluate the efficacies of four different surgical techniques in facial rejuvenation, two sets of identical twins were operated on by four different surgeons. The technical approaches to facial rejuvenation included lateral superficial m…
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Nuances of the Composite Face-lift Technique.
The composite face-lift is a well-described, comprehensive facial rejuvenation technique that results in harmonious repositioning of all components of the aging face. It is distinguished by the superior-medial movement of the cheek and the …
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Extended superficial musculaponeurotic system dissection and composite rhytidectomy.
The composite facelift represents a comprehensive technique for facial rejuvenation with tissue repositioning of essentially every deep structure of the aging face, addressing the neck, lower face, mid face/lower eyelid junction, and forehe…
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Continuing medical education article-facial aesthetic surgery: Septal reset in midface rejuvenation.
Septal reset in midface rejuvenation creates a youthful lower eyelid-cheek junction, shortening the vertical height of the lower eyelid. The author recommends this technique in secondary procedures to correct hollow lower eyelids and latera…
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The role of the septal reset in creating a youthful eyelid-cheek complex in facial rejuvenation.
Resetting of the septum orbitale over the orbital rim, or "septal reset," is the latest step in achieving periorbital rejuvenation in composite rhytidectomy. The first significant step was the addition of orbicularis repositioning to conven…
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A study of the long-term effect of malar fat repositioning in face lift surgery: short-term success but long-term failure.
In 1990, the author reported on a series of 403 cases of deep plane face lifts, the first published technique describing the repositioning of the cheek fat, known as malar fat, in face lift surgery. This study examines the long-term results…
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Correcting the unfavorable outcomes following facelift surgery.
Although many deformities formerly observed after rhinoplasties are seen less because of more sophisticated techniques, the deformities that may occur after conventional facelifts seem to be growing by epidemic numbers because of the widesp…
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Prevention and correction of the "face-lifted" appearance.
In spite of the increasing demand and popularity of facial rejuvenation procedures, there has been little real change of traditional techniques over the past few decades. Face lifts continue to be lateral vector techniques, whether skin lif…
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The zygorbicular dissection in composite rhytidectomy: an ideal midface plane.
Composite rhytidectomy added the repositioning of the orbicularis oculi muscle to the deep plane face lift to achieve a more harmonious appearance of the face by adding periorbital rejuvenation. By not separating the orbicularis oculi from …
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Frequent face lift sequelae: hollow eyes and the lateral sweep: cause and repair.
Traditional face lift and blepharoplasty techniques are based on two consistent principles. Conventional face lift techniques have always incorporated unopposed lateral vector tissue advancement, which is typical of subcutaneous lifts or rh…
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Composite rhytidectomy. Finesse and refinements in technique.
These points of refinement in flap dissection and closure may be helpful to surgeons who perform composite rhytidectomy. My experience in the past 6 years of doing exclusively composite facelifts is that there is consistent improvement in r…
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The role of orbital fat preservation in facial aesthetic surgery. A new concept.
Preservation of lower orbital fat in facial rejuvenation is a new concept for preventing the "operated" appearance that may follow fat removal in conventional blepharoplasty. By creating a narrower, more shallow orbit, the surgeon can creat…
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Composite rhytidectomy and the nasolabial fold.
In composite rhytidectomy, all of the deep aging anatomic components of the midface are elevated in the skin flap. The platysma muscle, cheek fat, and orbicularis oculi muscle are repositioned in this bipedicled musculocutaneous flap, which…
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A comparison of flap vascular anatomy in three rhytidectomy techniques.
The purpose of this study was to examine differences in blood supply to facial flaps created by three rhyditectomy techniques. The techniques chosen for comparison included a two-layer technique, consisting of separate subcutaneous and exte…
- Subperiosteal face lift.
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Comparison of skin-tissue tensions using the composite and the subcutaneous rhytidectomy techniques.
Controversy as to benefits, risks, and long-term durability of the subcutaneous rhytidectomy as compared with the composite and the subcutaneous musculoaponeurotic system (SMAS) rhytidectomy procedures has persisted over the last several ye…
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Surgery of the aging chin.
A technique is described for surgery of the aging chin that I use in every rhytidectomy patient. A mentalis-periosteal flap is developed, advanced downward, and sutured in a "vest over pants" manner over the platysma muscle under the submen…
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Composite rhytidectomy.
Signs of aging in the face reflect the change in position of deep anatomic elements, which are the platysma muscle, cheek fat, and the orbicularis oculi muscle. These changes occur from progressive ptosis of these elements, which continue t…
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Repositioning the orbicularis oculi muscle in the composite rhytidectomy.
While blepharoplasties are routinely done with face lift procedures, the improvement is accomplished by removing excess orbital fat with eyelid skin and muscle along the incisional line. The orbicularis oculi muscle remains intact as its in…
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The deep-plane rhytidectomy.
Lack of significant improvement in redundant nasolabial folds has always been a problem in face lift procedures. The purpose of this paper is to describe the deep-plane rhytidectomy, which addresses the problem of laxity of the nasolabial f…
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The tri-plane face lift dissection.
This article reviews the author's series of 750 rhytidectomies done over an eight-year period, beginning with the earlier pure Skoog technique with no subcutaneous undermining and evolving into the present technique with widespread undermin…
- Skoog rhytidectomy: a five-year experience with 577 patients.