Key points of high SMAS facelift

VernacularTitle: 高位SMAS除皱术的关键点
Author: Zhijun WANG ¹ ; Yan WANG ; Heng SHI ; Wenjun FAN ; Ning DANG ; Xiaoyan MA ; Li YE
Author Information

1. Beijing Ode BeauCare Clinic, Beijing 100125, China
Publication Type:Clinical Trail
Keywords: Superficial musculoaponeurotic system; Zygomatic ligament; Middle temporal fascia; Aging face
From: Chinese Journal of Plastic Surgery 2018;34(10):809-813
CountryChina
Language:Chinese
Abstract: Objective:To summarize the key points of high SMAS facelift.
Methods:Forty-six patients who had received high SMAS facelift were included in this study. All the patients had subcutaneous dissection by classic facelift incision. The temporal region dissection was performed superficial to middle temporal fascia to avoid temporal branches injury. The zygomatic ligaments were released by sharp and blunt dissection at malar prominence and zygomatic arch. After sub-SMAS dissection, a complete SMAS-platysma flap was raised including temporal, malar, lower face, neck, and one third or half of the midface.
Results:Forty patients had postoprative follow-up for more than one year. Twenty patients showed " excellent" results, eighteen patients had " good" results , two patients " common" . The good and excellent rate was 95%.
Conclusions:The key points of high SMAS facelift to achieve ideal outcome depend on the safe dissection of superficial temporal fascia and the release of zygomatic ligaments.