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Comment
. 2016 Jun;36(6):NP208-12.
doi: 10.1093/asj/sjw057. Epub 2016 Mar 29.

Response to "Commentary on: Total Composite Flap Facelift and the Deep-Plane Transition Zone: A Critical Consideration in SMAS-Release Midface Lifting"

Marc Mani  1
Affiliations
Comment

Response to "Commentary on: Total Composite Flap Facelift and the Deep-Plane Transition Zone: A Critical Consideration in SMAS-Release Midface Lifting"

Marc Mani. Aesthet Surg J. 2016 Jun.
No abstract available

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Figures

Figure 1.
Figure 1.
Example of a total composite flap facelift (later group). This 50-year-old woman complained of a scowling appearance and neck skin excess. She specifically did not want brow or eyelid rejuvenation. Examination showed marked ptosis of the deep facial tissues of the mid and lower face and platysmal laxity with marked neck skin excess. (A, C) Preoperative and (B, D) 12 month postoperative photographs after facelift with skin and SMAS left attached in the DTZ. She also underwent midline corset platysmaplasty with partial inferior platysmal transection. Elevation of midfacial highlights was significant in this case (20% on right and 11% on left). The incision is well camouflaged, and the jawline is youthful and full. The ptotic submandibular salivary glands have been suspended upward since platysma and skin are elevated together via the lateral dissection. Hence they are less noticeable postoperatively. Midfacial volume is restored without fat grafting or fillers. From Mani, reprinted with permission from Oxford University Press.
Figure 2.
Figure 2.
Example of a total composite flap facelift (later group). This 57-year-old woman complained of looking “droopy” and much older than she felt. Examination showed severe ptosis of deep tissues of the mid- and lower face, laxity of the platysma, and upper and lower lid blepharochalasis. (A) Preoperative and (B) 30 month postoperative photographs after facelift with skin and SMAS left attached in the DTZ. She also underwent midline corset platysmaplasty with digastric shaving, partial midline inferior platysmal transection, upper blepharoplasty, and transconjunctival lower blepharoplasty with fat repositioning. Elevation of midfacial highlights was significant in this case (17% on right and 10% on left). From Mani, reprinted with permission from Oxford University Press.
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References

    1. Mani M. Total composite flap facelift and the deep-plane transition zone: a critical consideration in smas-release midface lifting. Aesthet Surg J. 2016;365:533-545. - PMC - PubMed
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