Asian Facelift Technique Refinement With High Patient Satisfaction: FACE-Q Report

Annals of Plastic Surgery
Rongrong WangJiaming Sun

Abstract

Facial aging is a complex process influencing every layer of the facial structure. Most accepted surgical techniques for facial rejuvenation involve certain manipulation of the superficial musculoaponeurotic system (SMAS). Out of these SMAS-based techniques, SMAS plication or suspension provides excellent outcomes with shorter convalescence and fewer potential complications. Herein, we would like to present our own technique combining SMAS plication, periauricular purse-string, and malar fat pad elevation technique for mid and lower facelift. Through a classical periauricular and temporal incision, a periauricular permanent purse-string suture was woven into the SMAS to suspend sagging soft tissue of the mid and lower face after superficial undermining, then plication of inner and outer SMAS of the purse-string loop was performed to further secure suspension, and at last the malar fat pad was elevated for midface rejuvenation. The shape of the loop varies with patients' age; for younger patients, the loop is more vertical, and for older patients, the loop is more horizontal. Patient-reported outcomes were described using the FACE-Q questionnaire. From January 2010 to June 2015, a total of 138 patients were treated with this tec...Continue Reading

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Citations

Feb 16, 2019·Aesthetic Surgery Journal·Andrew A JaconoJoseph L Russell
Feb 8, 2019·JAMA Facial Plastic Surgery·Mohamed AbdelwahabSam P Most
Oct 28, 2019·Journal of Cosmetic Dermatology·Antonio ScaranoFelice Lorusso
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Ariel C JohnsonDavid W Mathes

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