안면거상술 Rhytidectomy

We describe nonabsorbable sutures running from one or more sites in the superficial musculoaponeurotic system (SMAS), to other sites at a distance, or to fixed sites beyond or deep to SMAS for the purpose of pulling on or suspending the dis…

A personal method for the treatment of the suprazygomatic SMAS and its results are presented. By acting on the suprazygomatic fibromuscular layer in the rhytidectomy, the surgeon can avoid tension on the cutaneous layer, and possible conseq…

Routine face-lift incisions in the temporal hair line may be unsatisfactory because of one or all of the following reasons: Production of an area of baldness immediately in front of the ear; presence of wide unsightly scar in the temporal h…

A pennant-shaped "SMAS sling" is developed from the preauricular SMAS, leaving it attached inferiorly between the level of the earlobe and the angle of the mandible. This is rotated posteriorly over the mastoid process, tension is applied, …

We describe the technical details used in applying nonabsorbable sutures running from the anterior platysma muscles and/or adjacent fascia back to the fascia just in front of or covering the sternocleidomastoid muscles. These sutures usuall…

A case of flap necrosis after rhytidectomy in two patients with Raynaud's symptomatology are presented. The pathology and complications are explained and reasons postulated for the necrosis and wound-healing problems. Clinical descriptions …

A technique is described in which suction-assisted lipectomy is used for excessive fat removal in association with the standard rhytidectomy. It is safe, reliable, and can be performed through a small horizontal submental incision. A more n…

Cervical and submental deformities are the major complaints of many patients who have had rhytidectomies. Unfortunately, traditional rhytidectomy techniques have failed to provide satisfactory and lasting results in this region. During rece…

The use of topical salicylate-containing creams and ointments is widespread. A case is presented which implicates the use of one such cream (Aspercreme) as a potential cause of platelet coagulopathy after rhytidectomy.…

The technique of SMAS-platysma facelift has been reviewed. The deep layer lift with the SMAS-platysma myocutaneous flap of the anterior neck and lower face facilitates correction of submental deformities without the necessity of direct appr…

Our current principles for the treatment of anterior neck deformities originally evolved from cadaver dissections and clinical observations. These principles have been applied over the past seven years in nearly 100 patients. We combine as …

The surgical correction of an anatomic defect should re-establish the normal relationship of the tissues which contribute to the defect and restore or improve function. When the repair of the anatomic defect is not maintained, it may be nec…

This is an up-to-date review of the state of the art in the treatment of the fat neck at the University of Miami School of Medicine, based on twenty-five years of experience including several thousand cases. The combination of submental lip…

The technique of rhytidectomy used by the authors for the oriental face is explained. The main points of this operative procedure are: 1) the incision line is designed before the operation, 2) subcutaneous undermining is easy, 3) the key su…