표재성근건막계 SMAS

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…

Correction of laxity in the submental area and of hypertrophic neck cords has been enhanced with the SMAS-platysma face life over that which was achieved with a standard skin face lift. Evaluation of a 6-year experience with the SMAS-platys…

Maintaining satisfactory long-term results in a face-lift on an aging face is an important aspect of facial plastic surgery. While undermining and support of the SMAS in the posterior cheek has achieved recent popularity, plication of the f…

Based on examination of many necks and observations at surgery and on cadavers, we believe that "platysma cords"' or cervical folds are normal when the muscles are being contracted. In the aged, they do not disappear when the muscle is rela…

It is thought that plicating or folding the superficial musculoaponeurotic system (SMAS) upon itself near the ear with permanent sutures will improve and help maintain the results of cheek-neck lifting of the skin layer alone. Getting proof…

The Skoog SMAS rhytidectomy has generally been accepted since its introduction as being superior to conventional rhytidectomy. A study is presented comparing major complications and "redo" modalities to determine if one or the other precedu…

Brow elevations via the indirect temporal lift approach was carried out on a series of 26 cadaver half heads. The purpose of the dissection was to identify the course and depth of plane of the frontalis branch of the facial nerve. Of partic…

The continuity between the aponeurotic facial fascia and the platysma is an anatomical fact which can be useful in performing face-lift surgery. We have used a "suspender flap" that we fix securely to the periosteum of the mastoid. This fix…

An approach to SMAS-platysma system rhytidectomy is described which has the benefits of deep-layer meloplasty without the undue risk inherent in approaches that widely undermine this system. The technique has been used on 100 consecutive pa…

Our experience in 1 1/2 years of follow-up with 64 patients with a musculofascial flap to support the lower face and anterior neck is presented. We anticipate that the skilled plastic surgeon will find this procedure helpful for the aesthet…

In order to consider segmental correction of the aging face, pertinent disfigurements and underlying anatomy must be analyzed. Bony structures such as chin and malar eminence might be augmented. Submental exploration should be considered wh…

The shifting of skin and superficial musculo-aponeurotic system (SMAS) fascia in the facelift procedure represents an important development in the improvement of the lax and sagging skin of the face and neck. The pathology of aging skin is …

Platysma regrowth after platysma cervical lift is a new complication. We postulate that the platysma reestablishes itself by hypertrophy of muscle fibers contained in its posterior SMAS sheath as well as by muscle regrowth along the posteri…

Our present face-lift technique is a double-layered operation, consisting of standard skin flap dissection in the cheeks and undermining in the neck, often across the midline. The underlying foundation for the lift is created by superficial…

The goal of a face-life procedure should be to obtain the maximal improvement with minimal morbidity. The author's technique is presented as an alternative technique to accomplish this goal. It is based on 427 face-lift patients from 1973 t…

This case demonstrates the use of the superficial musculoaponeurotic system for suspension in facial nerve paralysis. This approach allows access to the buccinator, which is plicated to the masseteric fascia to reduce intraoral redundancy.…

Injury to the facial nerve in rhytidectomy has been occurring in less than one percent of the cases, and a spontaneous return of function in more than 80 percent of these injuries has resulted within 6 months. With the introduction of the n…

In 25 random patients undergoing rhytidectomy, we did unilateral subplatysmal-fascial dissections of the superficial musculoaponeurotic system (SMAS) of the face and neck--with redistribution of the tension of this system and fixation by su…

We have investigated the superficial musculo-aponeurotic system (SMAS) in the parotid and cheek areas by anatomical dissections, by radiographs, and by histological sections. The SMAS may be helpful in corrective surgery for facial palsy an…