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Facial Plast Surg 2017; 33(03): 250-251
DOI: 10.1055/s-0037-1603528
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Anatomy for Facelift

Rami K. Batniji
1   Batniji Facial Plastic Surgery, Newport Beach, California
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Publication History

Publication Date:
01 June 2017 (online)

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Abstract

Knowledge of surgical anatomy is of paramount importance during surgical dissection for facelift surgery, regardless of the type of facelift procedure performed. This article reviews the relevant surgical anatomy for facelift, including the superficial musculoaponeurotic system (SMAS), and course of the facial nerve relative to the SMAS, zygomatic arch, and mandible. Also, this article reviews the various retaining ligaments, and some types of facelift procedures recommend release of these ligaments to achieve a more effective aesthetic result.

Keywords

facial nerve - facelift surgery - fasciocutaneous ligament - superficial musculoaponeurotic system
 

  • References

  • 1 Mitz V, Peyronie M. The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg 1976; 58 (01) 80-88
    CrossrefPubMedGoogle Scholar
  • 2 Barton Jr FE. Rhytidectomy and the nasolabial fold. Plast Reconstr Surg 1992; 90 (04) 601-607
    CrossrefPubMedGoogle Scholar
  • 3 Gosain AK, Yousif NJ, Madiedo G, Larson DL, Matloub HS, Sanger JR. Surgical anatomy of the SMAS: a reinvestigation. Plast Reconstr Surg 1993; 92 (07) 1254-1263 ; discussion 1264–1265
    PubMedGoogle Scholar
  • 4 Trussler AP, Stephan P, Hatef D, Schaverien M, Meade R, Barton FE. The frontal branch of the facial nerve across the zygomatic arch: anatomical relevance of the high-SMAS technique. Plast Reconstr Surg 2010; 125 (04) 1221-1229
    CrossrefPubMedGoogle Scholar
  • 5 Nelson DW, Gingrass RP. Anatomy of the mandibular branches of the facial nerve. Plast Reconstr Surg 1979; 64 (04) 479-482
    CrossrefPubMedGoogle Scholar
  • 6 McKinney P, Katrana DJ. Prevention of injury to the great auricular nerve during rhytidectomy. Plast Reconstr Surg 1980; 66 (05) 675-679
    CrossrefPubMedGoogle Scholar
  • 7 Moss CJ, Mendelson BC, Taylor GI. Surgical anatomy of the ligamentous attachments in the temple and periorbital regions. Plast Reconstr Surg 2000; 105 (04) 1475-1490 ; discussion 1491–1498
    PubMedGoogle Scholar
  • 8 Bartlett SP, Grossman R, Whitaker LA. Age-related changes of the craniofacial skeleton: an anthropometric and histologic analysis. Plast Reconstr Surg 1992; 90 (04) 592-600
    CrossrefPubMedGoogle Scholar
  • 9 Rohrich RJ, Pessa JE, Ristow B. The youthful cheek and the deep medial fat compartment. Plast Reconstr Surg 2008; 121 (06) 2107-2112
    CrossrefPubMedGoogle Scholar
  • 10 Nicolau PJ. Long-lasting and permanent fillers: biomaterial influence over host tissue response. Plast Reconstr Surg 2007; 119 (07) 2271-2286
    CrossrefPubMedGoogle Scholar