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DOI: 10.1055/s-0043-1777312
Deep-Plane Rhytidectomy: Pearls in Maximizing Outcomes while Minimizing Recovery
Abstract
The deep-plane rhytidectomy was first described in 1990 and has gained traction in the past decade as supported by anatomy, embryology, and clinical evidence. Consumer dissatisfaction in facial rejuvenation procedures often occurs because procedures are too conservative and are undone. From the consumer's perspective, an outcome is a combination of the esthetic result, predictability, and the length of the recovery process. The length of the recovery process is often the limiting issue affecting the consumer's willingness to proceed with the procedure. As one of the early pioneers in deep-plane rhytidectomy, the lead author will define contemporary advances in deep-plane techniques such as dissection entry point, flap design, and flap fixation concepts that allow an aggressive approach to treating both the superficial soft tissue envelope and deeper facial aging structures. These technique modifications and insights will provide the surgeon with an understanding of how to achieve significant, natural, long-lasting results with predictable short recovery periods—maximizing outcomes and minimizing postoperative processes.
Publication History
Article published online:
04 December 2023
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References
- 1 Gordon NA, Adam III SI. Deep plane face lifting for midface rejuvenation. Clin Plast Surg 2015; 42 (01) 129-142
- 2 Gordon NA, Toman J. Illusion of volume loss. Facial Plast Surg 2015; 31 (01) 80-87
- 3 Tower J, Seifert K, Paskhover B. Longitudinal analysis of superficial midfacial fat volumes over a 10-year period. Aesthetic Plast Surg 2018; 42 (04) 995-1001
- 4 Tower JI, Gordon NA, Paskhover B. Deep cheek fat volumes and midfacial aging. Aesthet Surg J 2020; 40 (05) 467-475
- 5 Mitz V, Peyronie M. The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg 1976; 58 (01) 80-88
- 6 Skoog T. New methods and refinements. In: Skoog T. Ed. Plastic Surgery. 1st Ed.. Stockholm: Almgrist and Wicksell International; 1974: 300-330
- 7 Hamra ST. The deep-plane rhytidectomy. Plast Reconstr Surg 1990; 86 (01) 53-61
- 8 Hamra ST. Composite rhytidectomy. Plast Reconstr Surg 1992; 90 (01) 1-13
- 9 Lemmon ML, Hamra ST. Skoog rhytidectomy: a five-year experience with 577 patients. Plast Reconstr Surg 1980; 65 (03) 283-297
- 10 Gordon NA, Godin M, Johnson CM. The deep plane rhytidectomy: technique, modifications, and outcome of three hundred cases. Presented at: American Academy of Facial Plastic and Reconstructive Surgery Annual Meeting. Washington, DC: September 27, 1996
- 11 Adamson PA, Dahiya R, Litner J. Midface effects of the deep-plane vs the superficial musculoaponeurotic system plication face-lift. Arch Facial Plast Surg 2007; 9 (01) 9-11
- 12 Rohrich RJ, Pessa JE. The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg 2007; 119 (07) 2219-2227
- 13 Tower JI, Sawan T, Gordon NA, Paskhover B. The aging parotid gland: a longitudinal volumetric study and implications for treatment. Aesthet Surg J 2021; 41 (04) 408-414