Facelift without Periauricular Incisions

Abstract

The best technique for facial rejuvenation has been argued about for years. Some result in more or longer scars, others in fewer or shorter scars; some techniques are more invasive, and some less invasive, giving, in turn, improvements to different aspects of aging. Some techniques may be less aggressive in parts of the face and may have better scar results compared with more invasive techniques; less scaring can provide long-lasting and enjoyable results. With the facelift without periauricular incision technique, no evidence of facial surgery is left because the traditional periauricular scars resulting from standard facelifts are avoided. A retrospective study of 210 patients who underwent a facelift without preauricular incisions between 2008 and 2011 showed a high patient satisfaction, effective action on effects of aging, and improvement on specific aspects for each patient. The complication rate was very low with simple revisions, among which were two related to temporal edema, two related to the marionette lines, three related to cervical suspension points, and four regarding scars. This technique is useful in patients between 40 and 70 years of age who do not have excessive facial wrinkles. It improves facial contour affected by aging, genetics, or secondary to previous surgeries and provides reproducible lasting natural results.

Keywords

periauricular - facial rejuvenation - plication - autologous grafts - facelift

• References

• 1 Gonzalez-Ulloa M, Flores ES. Senility of the face—basic study to understand its causes and effects. Plast Reconstr Surg 1965; 36: 239-246
• 2 Lin AN, Carter DM, Balin AK. Nonmelanoma skin cancers in the elderly. Clin Geriatr Med 1989; 5 (1) 161-170
• 3 Skoog T. Plastic Surgery: New Methods and Refinements. Philadelphia, PA: WB Saunders; 1974: 393-410
• 4 Mitz V, Peyronie M. The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg 1976; 58: 80-88
• 5 Ramirez OM, Maillard GF, Musolas A. The extended subperiosteal face lift: a definitive soft-tissue remodeling for facial rejuvenation. Plast Reconstr Surg 1991; 88: 227-236 , discussion 237–238
• 6 Baker DC. Minimal incision rhytidectomy (short scar face lift) with lateral SMASectomy: evolution and application. Aesthet Surg J 2001; 21: 14-26
• 7 Fuentedel Campo A. Midline platysma muscular overlap for neck restoration. Plast Reconst Surg 1998; 102: 1710-1715
• 8 Feldman JJ. Corset platysmaplasty. Plast Reconstr Surg 1990; 85: 333-343
• 9 Guerrerosantos J. Managing platysma bands in the aging neck. Aesthet Surg J 2008; 28: 211-216
• 10 Giampapa VC, Di Bernardo BE. Neck recontouring with suture suspension and liposuction: an alternative for the early rhytidectomy candidate. Aesthetic Plast Surg 1995; 19: 217-223
• 11 Giampapa V, Bitzos I, Ramirez O, Granick M. Suture suspension platysmaplasty for neck rejuvenation revisited: technical fine points for improving outcomes. Aesthetic Plast Surg 2005; 29: 341-350 , discussion 351–352
• 12 Ramirez OM, Robertson KM. Comprehensive approach to rejuvenation of the neck. Facial Plast Surg 2001; 17: 129-140
• 13 Camirand A, Doucet J. A comparison between parallel hairline incisions and perpendicular incisions when performing a face lift. Plast Reconstr Surg 1997; 99: 10-15
• 14 Stuzin JM, Baker TJ, Gordon HL, Baker TM. Extended SMAS dissection as an approach to midface rejuvenation. Clin Plast Surg 1995; 22: 295-311
• 15 Matarasso A, Elkwood A, Rankin M, Elkowitz M. National plastic surgery survey: face lift techniques and complications. Plast Reconstr Surg 2000; 106: 1185-1195 , discussion 1196