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Rationale and Long-term Experience

E. Gaylon McCollough, MD; Stephen W. Perkins, MD; Phillip R. Langsdon, MD

Arch Otolaryngol Head Neck Surg. 1989;115(2):228-234.

Abstract
• Prudent surgeons who perform facelifting operations continue to alter techniques to reduce morbidity and achieve lasting results. The philosophy and technique herein described arose from the premise that suspension of the superficial musculoaponeurotic system (SMAS) suspends the skin-adipose unit (SA). In turn, suspension of the skin-adipose unit (SA) suspends the SMAS. When proper suspension is achieved, both systems function in tandem as a single unit, ie, the SASMAS (skin-adipose superficial musculoaponeurotic system). The SASMAS technique has been performed in approximately 1200 patients with gratifying results and minimal complications.

(Arch Otolaryngol Head Neck Surg 1989;115:228-234)

Author Affiliations
From the Division of Otolaryngology, University of Alabama, Birmingham (Drs McCollough and Langsdon); The McCollough Facial Surgery Clinic, Birmingham, Ala (Dr McCollough); and the Department of Otolaryngology–Head and Neck Surgery, Indiana University School of Medicine, Indianapolis (Dr Perkins). Dr Langsdon is now in private practice in Memphis. Dr Perkins is now in private practice in Indianapolis.

Footnotes
Accepted for publication Aug 12, 1988.

Read before the American Academy of Facial, Plastic, and Reconstructive Surgery, Palm Beach, Fla, May 10, 1986.

Reprint requests to 8125 Knue Rd, Suite 103, Indianapolis, IN 46250 (Dr Perkins).

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