Periauricular contouring suspension in secondary face-lift.

[BACKGROUND] The management of revision face-lift surgery is always challenging and controversial. We introduce the periauricular contouring suspension which combines a concentric SMAS suspension with a linear platysmal suspension for optimal facial rejuvenation.

[METHODS] Complete clinical examination was a prerequisite to any secondary face-lift. We included every patient who had undergone a secondary face-lift between 2007 and 2010 in this study. The periauricular contouring suspension technique was used. It is inspired by Stocchero's round-block SMAS treatment procedure and also features a linear platysmal suspension associated with liposuction. Data gathered for every patient included sex, age, delay between primary and secondary procedures, and follow-up.

[RESULTS] Sixty-two patients (50 women and 12 men) underwent the procedure and were included in this study. The average age was 66 years old. The average delay between primary and secondary surgery was 11 years. Average follow-up was 29 months.

[CONCLUSIONS] Periauricular contouring suspension is a reliable technique for a secondary face-lift. It is a minimally SMAS-invasive technique in which postoperative outcomes are excellent and has become our preferred technique for revision face-lifting.

[LEVEL OF EVIDENCE IV] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at http://www.springer.com/00266.