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Analysis of the effects of subcutaneous musculoaponeurotic system facial support on the nasolabial crease.
The idea that traction on the subcutaneous musculoaponeurotic system (SMAS) deepens the nasolabial crease has been propagated through the plastic surgery literature. This notion is contrary to the senior author's experience. The purpose of …
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Longevity of SMAS facial rejuvenation and support.
[BACKGROUND] One of the most common questions asked by patients when they present for face lift surgery is "How long will this last?" The answer to this question is not clear from the literature. [METHODS] The purpose of the study was to r…
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Roundtable: discussion of "the difficult patient".
Eight renowned surgeons responded to questions centering on "difficult patients" in facial plastic surgery. Questions ranged from, "How do you manage a postoperative patient who looks 'OK,' if not great, to you but complains about the resul…
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Correcting deformities of the aged earlobe.
An earlobe that appears aged or malpositioned can sabotage the results of a well performed face lift. The most frequently noted sign of a naturally aged earlobe is increased length. Improper planning of face lift incisions may also result i…
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Male face lift.
The author describes how to use the deep layer support technique for male face lift to achieve natural-looking results and virtually undetectable scars. He discusses incisions and neck contouring in detail and provides pointers on eliminati…
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The trifurcated SMAS flap: three-part segmentation of the conventional flap for improved results in the midface, cheek, and neck.
While SMAS surgery revolutionized facelift procedures, the single flap created by conventional dissections suffers the drawback that it can only be advanced in one direction and sutured in place under uniform tension. Division of the flap i…
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The male foreheadplasty. Recognizing and treating aging in the upper face.
Many surgeons remain mistakenly preoccupied with aging in the jowl and neck and often overlook more objectionable changes in the upper face. These changes produce not only an old or aged appearance but also inappropriate expressions. This a…
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The forehead lift: techniques to avoid complications and produce optimal results.
This discussion of forehead lifting, based on modifications of Vinas, Caviglia, and Cortinas, shares the authors' methods of patient evaluation, diagnostic details, architectural planning, and surgical concepts for forehead rhytidectomy alo…
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Neck contour deformities. The art, engineering, anatomic diagnosis, architectural planning, and aesthetics of surgical correction.
The best quality long-lasting results require attention to the diagnosis of the precise anatomic problems followed by the architectural planning--the art of making beautiful highlights, shadows, and curves where indicated to produce a resul…
- Plastic Surgery: Face-lift Techniques Today.
- Surgical correction of aesthetic contour problems of the neck.
- Surgical technique of cervical lift and facial lipectomy.
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Cervical lifts: the value of platysma muscle flaps.
Patients and physicians who are not satisfied with the results of cervical lift procedures that rely on skin tension alone frequently complain of persistent or recurring neck longitudinal bands; of lack of pleasing concave contours; or of l…
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Eyebrow, face, and neck lifts for males.
Alternate locations to skin excisions adjacent to the eyebrows for correction of eyebrow ptosis have been presented. Excisions in the upper forehead or in the scalp permit flexibility in width and length of skin or scalp to be excised and m…
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Contouring the neck in rhytidectomy by lipectomy and a muscle sling.
Accurate diagnosis of the cause of the objectionable contour problems is necessary for the execution of appropriate and adequate surgical technique for correction. For improving neck contour, I use an adequate lipectomy combined with deep s…