Triplane RhytidectomyCombining the Best of All Worlds
Shan R. Baker, MD
Arch Otolaryngol Head Neck Surg. 1997;123(11):1167-1172.
Abstract
| |
Objective
To combine certain aspects of the subsuperficial musculoaponeurotic system (sub-SMAS) and subperiosteal rhytidectomies to maximize the advantages while minimizing the disadvantages of each.
Design
The subperiosteal rhytidectomy is used to reposition the ptotic malar fat pad concomitantly with the elevation of the corner of the mouth by means of shifting upward the origin of the zygomatic major muscle. The sub-SMAS rhytidectomy is used to maximize elevation of the jowl.
Setting
Ambulatory surgical facility.
Method
Preauricular and temporal dissection is subcutaneous to the malar eminence above and angle of mandible below. A subperiosteal dissection of the middle part of the face is then accomplished through a sublabial approach combined with an incision over the malar eminence. An incision is made through the SMAS from the malar eminence to the mandibular angle and subSMAS dissection is accomplished under the jowl. The subperiosteal dissection is suspended to the temporal fascia and the SMAS dissection is imbricated with 2 suspension suture lines.
Conclusions
Follow-up in patients who are 1-year postoperative demonstrates a continued youthful elevation and flattening of the melolabial fold and complete correction of the jowl. No facial nerve injury or hematomas were observed.
Arch Otolaryngol Head Neck Surg. 1997;123:1167-1172
Author Affiliations
From the Facial Plastic and Reconstructive Surgery Division, Department of Otolaryngology—Head and Neck Surgery, University of Michigan, Ann Arbor.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Surgical Anatomy of the Face: Implications for Modern Face-lift Techniques
Gassner et al.
Arch Facial Plast Surg 2008;10:9-19.
ABSTRACT
| FULL TEXT
|
