It's simply not enough to elevate the SMAS just to the cheekbone in the majority of patients. 2015;136:676e–689e. Tschüss Schwerkraft – hallo klare Gesichtskonturen! Jacono AA, Alemi AS, Russell JL. Ryu MH, Kahng D, Khoo LS, et al. Swanson E. Objective assessment of change in apparent age after facial rejuvenation surgery. Guerrerosantos J. Get the latest business insights from Dun & Bradstreet. 57. 30. Plast Reconstr Surg. The temporal dissection is carried directly superficial to the deep temporal fascia. The SMAS facelift technique is especially suitable for people seeking to improve cosmetic changes in their faces and necks due to aging. Patients provided written consent for the use of their images. 4. 2018;6:e1961. Dr. Jacono performed a deep plane facelift and a lower blepharoplasty to address her concerns. Einer Faustregel nach werden vor dem 50. Complications of cervicofacial rhytidectomy. Beginning in 2013, all patients were monitored for deep venous thromboses using ultrasound surveillance. Plast Reconstr Surg. 53. Swanson E. Evaluation of face lift skin perfusion and epinephrine effect using laser fluorescence imaging. Find company research, competitor information, contact details & financial data for TECHNIFLEX of GIGEAN, OCCITANIE. Now, the incision line in the SMAS and the plane beneath the SMAS are infiltrated with a solution of 0.5% lidocaine containing epinephrine. 16. Drugs & Diseases > Clinical Procedures Extended SMAS Facelift Updated: Mar 07, 2023 Author: Andrew Jacono, MD; Chief Editor: James Neal Long, MD, FACS more. Simultaneous cosmetic surgery of the breast or body was performed in 24% of patients. between January 9, 2017, and January 8, 2018. Most recently, non-surgical rejuvenation with neuromodulators and facial fillers has exploded in popularity. Kids teased her and were cruel, and nobody would sit next to her on the bus, so he decided to sit with her. Contact us anytime for a consultation: The Definitive Guide to Eyebrow Transplants, When to Have Septoplasty With Rhinoplasty, The Ultimate Guide to Soft Tissue Fillers. This dissection is continued caudally over the angle of the mandible and further down into the neck overlying the platysma. In contrast, if you first pull the sheet taut, then the bedspread will hug the bed and look crisp. The risk of pulmonary embolism from a distal thrombosis is low (2%).57,58 However, propagation can lead to a dangerous proximal thrombosis. This makes an incision in the SMAS close to the problem areas and raises a smaller skin flap. Finally, pouches beside the mouth could be due to a particular patient's anatomy or the particular technique used by the surgeon. Another advantage of the SMAS facelift is that excessive tension is avoided on the skin layer since the SMAS lift will actually hoist up 60 to 70 % of the skin weight. Paper Presented at: Aesthetic Surgery of the Aging Face Symposium; November 22, 2003; New York, NY. Patients will need to wear a bandage around their face for a full day and their heads should be elevated with three pillows when sleeping. Her jowls have been eliminated and she now enjoys naturally appearing and aesthetically pleasing earlobes with she did not have. Plast Reconstr Surg. Contact The Cosmetic Plastic Surgery Institute, High Definition Brazilian Buttocks Lift (Buttocks shaping), Download Our Surgical Team’s free Liposuction eBook, Well healed and hidden surgical incision lines. 1992;90:1–13. Die etwas höheren Kosten eines SMAS Facelift sind die Kosten durch die besondere Technik, die Dauer des Eingriffs und durch das lang anhaltende, natürliche Ergebnis durchaus gerechtfertigt. The SMAS facelift works by lifting things back up to where they used to be, rewinding time and making you look at least 10 years younger. 10. J Thromb Thrombolysis. 1. The dissection is carried out in a subcutaneous plane until the subcutaneous dissections from either side of the face meet. Plast Reconstr Surg. What it comes down to is just two different ways to get to the same endpoint, but honestly, when you look at different patients’ outcomes, the results are very good from either procedure. I help people like you every day and I’d love to talk. A bulky head dressing is applied. Are they dissolvable sutures that take a long time to dissolve? Fat is harvested after the facelift and injected immediately. One day, the girl had plastic surgery and returned to school with her face repaired. The next line that is drawn is a line 1 cm inferior and parallel to the zygomatic arch. 14. A meta-analysis of complication rates among different SMAS facelift techniques. 2002;109:2074–2086. 2004.St. Unlike lateral SMAS facelift flap procedures (high or low), the extended deep plane facelift enters the sub-SMAS plane medially at the mobile SMAS giving it a biomechanical advantages when lifting the anterior midface and jowl soft tissue ptosis. The skin is now redraped, and the amount to be resected is determined (Figure 20.8). See additional information. 7).26,35 Granted, it does seem contraintuitive to release a strong structure such as the retaining ligaments with a view to correcting the problems caused by its weak terminal extensions. While most surgeons can execute this procedure, Dr. Jacono does not suggest it because he believes facelifts should last 10 years or more, and this can be accomplished by lifting the SMAS. A SMAS facelift can last 10 to 15 years. Sie verhindert eine maskenhafte Erscheinung nach einem Facelift, da zusätzlich zu der Haut auch die für unsere Mimik zuständigen Gesichtsmuskeln mit einbezogen werden. Durnig P, Jungwirth W. Low-molecular-weight heparin and postoperative bleeding in rhytidectomy. 18. Figure 20.7 Medial repositioning of the platysma and platysmal myotomy. 1993;17:43–47. 2002;110:590–598; discussion 599. 47. Following through-and-through neck dissection, excess cervical fat is sharply contoured with scissors. Plast Reconstr Surg. The skin is now draped over the tragus, and the line of resection is determined. Patients were divided into 4 treatment groups4,5 for evaluation (Table 1). Limitations of this study include its retrospective design and lack of a comparison with a control group treated with orbicularis redraping and a traditional temporal incision. Blood. In: Plastic Surgery Vol. It is best that candidates are in good health and do not have any medical conditions that impair the healing process. Bellaire, TX 77401 Other areas of the face are injected simultaneously. Yousif NJ, Mendelson BC. It’s is Doctor Jacono’s passion to help his patients achieve their facial aesthetic goals, creating natural appearing results to either enhance their beauty and proportion or rejuvenate their aging appearance. Alghoul M, Bitik O, McBride J, et al. The hairline is not displaced. Several factors such as your age, general health and addictions determine how long you can expect the results to last. If you did just one facelift and you never did anything else again, you should always look about 10 to 15 years younger than your age. She completed her residency at Baylor College of Medicine and her fellowship in Facial Plastic and Reconstructive Surgery. At this point, the platysma muscle can be visualized and may need to be repositioned and sutured together if it has splayed in the midline. Please try after some time. The SMAS is then secured in this location with a soft absorbable suture, down to the underlying tissue and periosteum of the zygomatic arch (Figure 20.6). Louis: Quality Medical Publishing. Plast Reconstr Surg. 2015;3:e484. Of course, you must bear in mind that the money that you’re spending on the facelift is a direct investment in yourself and your self-confidence. This patient did not like her sagging double chin and fatty jowls. Clin Plast Surg. Check out before and after pictures of popular plastic surgery procedures, including: liposuction, tummy tuck, breast implants, rhinoplasty (nose job), neck lift, and more. skin health center/skin a-z list/how long does an smas facelift last article. 2001 Westcliff Drive, Suite 206 Lidocaine 0.5% with epinephrine is instilled along the incision lines and the planes of subcutaneous dissection. 33. A lateral platysmaplasty provides the second vector, with musculocutaneous advancement of the cervical flap. Dr. Jacono performed a SMAS facelift on her and the after photos show a defined jawline with a wrinkle-free and tighter neck. Plast Reconstr Surg. Before and After Recovery Complications What is an SMAS facelift? Die Ergebnisse eines SMAS Liftings sind nicht nur besonders natürlich, sondern haben im Vergleich zu anderen Lifting-Methoden auch länger Bestand. Plast Reconstr Surg. Keep reading to find out the benefits of the SMAS facelift technique. Little67 reported an 8% incidence of facial nerve branch injury with his imbrication technique, which takes place in a plane superficial to the SMAS. All Rights Reserved. Minimal incision rhytidectomy (short scar face lift) with lateral smasectomy: evolution and application. She is shown before (A,D), 10 days after surgery (B,E), and 3 months postoperatively (C,F). 43. Plast Reconstr Surg. If malar augmentation is not planned, then the remaining SMAS extending above the zygomatic arch is incised and discarded. Post-surgery, the majority of patients return home the same day of the procedure. She is overjoyed with her results. 2010;125:532–537. 17. The retaining ligaments of the cheek. Pearson’s Chi-Square was used to compare frequencies for categorical variables. Plast Reconstr Surg Glob Open. Endoscopic forehead lifts were performed using absorbable suspension screws. De Cordier BC, de la Torre JI, Al-Hakeem MS, et al. Andrew Jacono, MD, FACS has been honored with the Patient’s Choice Award for the 7th year in a row. Dr. Andrew Jacono, MD, FACS is considered the, Dr. Jacono Rated Top Plastic Surgeon – News, World Leading Expert in Facial Plastic Surgery, Innovator, and Philanthropist, Fat Transfer Correction with Facelift Surgery, Vertical lifting of the face and neck by repositioning the SMAS, Removal of Jowls, and Drooping/Turkey Neck, Removal of deep wrinkles with long-lasting results, Safe procedure with very few complications. Check out the center below for more medical references on cosmetic surgery, including multimedia (slideshows, images, and quizzes), related diseases, treatment, diagnosis, medications, and prevention or wellness. These muscles descend over time, creating things like jowls, marionette lines, and laugh lines. Extended SMAS Facelift - StatPearls - NCBI Bookshelf The facelift, or rhytidectomy, was the third most commonly performed cosmetic surgical procedure in the United States in 2020, after rhinoplasty and blepharoplasty. It is essential to avoid overresection of submental fat,54 which might cause an unattractive “cobra-neck” deformity. Normally for my Full facelift I will perform until SMAS layer, and it’s probably will last for 10 years, but some case will last for more than 10 years. 61. A deep plane lift works better on someone who has trouble healing. The horizontal incision was about 3 cm long. Plastic and Reconstructive Surgery – Global Open8(2):e2640, February 2020. He also performed a lower eyelid lift with a temporal lift which opened up her eyes. Furnas DW. This is a simple procedure, but the suturing technique does not last as long, often creating results that last only 2 or three years. Tonnard P, Verpaele A, Monstrey S, et al. Learn about how a neck lift is performed and what to expect during the recovery process as well as potential complications. 8). A facelift is a type of cosmetic surgery to provide a younger, firmer appearance to your face. SMAS facelift is a relatively safe surgery. 45. Dr. Sturm was named Texas Monthly’s Super Doctors Rising Star in 2016-2017, Texas Monthly’s Super Doctor in 2018-2019, H Texas Magazine’s Top Doc in 2013-2018, Top Doc by Houstonia magazine in 2016-2018, Houston Business Journal’s People on the Move and 40 under 40, Blazing Star Award by Texas Women’s Chamber of Commerce, Top Women in Business, one of the Top 30 Influential Women of Houston, Best Female Cosmetic Surgeon in Out Smart, and given the Patients’ Choice Award, On Time Doctor Award and Compassionate Doctor Award by Vitals.com. Die Langlebigkeit des Ergebnisses ist unter anderem auch vom persönlichen Lebensstil und von den Gewohnheiten abhängig. Plast Reconstr Surg. 1994;18:17–19. Plast Reconstr Surg. Figure 20.2 Postauricular extension of facelift incision. Rejuvenation of the midface by elevating the malar fat pad: review of technique, cases, and complications. In recent years, more and more patients prefer the SMAS technique when choosing a facelift. The SMAS and the nasolabial fold. All Rights Reserved. 2017;139:865–866. Comprehensive lift Elimination of skin recoil Avoidance of skin only facelift deformities. Hemostasis cannot be overstated. Returning to the malar region, the subcutaneous dissection is continued until the skin is freed from the restraint of the zygomatic ligaments, toward the lateral canthus. These muscles descend over time, creating things like jowls, marionette lines, and laugh lines. Diagram illustrating the placement of sutures used to fix the elevated SMAS to the deep temporalis fascia, which also advances the platysma vertically, accomplishing the first vector of a triple-vector platysmaplasty. A muscle “flap” is created, lifting the muscle off the structure of the face, and smoothing it out. Dr. Jacono also repositioned the lower eye bags to reduce the appearance of her dark eye circles. Swanson E. Prospective study of Doppler ultrasound surveillance for deep venous thromboses in 1000 plastic surgery outpatients. Plast Reconstr Surg. 1998;102:1658–1666. Retaining ligaments of the face: review of anatomy and clinical applications. Eine effektive Lösung ist hier ein Facelift. I think she looks at least 15 years younger. During this facelift, we move all that in one piece back up where to where it should be. Facelifting procedures remain the best long-term answer to the problem of facial aging. The five-step lower blepharoplasty: blending the eyelid-cheek junction. The skin is incised through the predrawn intratragal incision extending into the temporal scalp. Five advantages are achieved by using the dual plane SMAS facelift and they include: The SMAS procedure for a facelift is definitely superior to the skin the only facelift. 46. She decided to have Dr. Jacono perform a SMAS facelift on her trouble areas and the after photos show a more youthful appearance with a defined jawline. Superficial musculo aponeurotic system (SMAS) is the group of facial muscles and tissues that tend to become saggy with aging. Sinno S, Mehta K, Reavey PL, et al. Wenn dieser Beitrag Ihr Interesse geweckt hat und Sie vielleicht auch noch weitergehende Fragen haben, dann besuchen Sie gerne unsere Behandlungsseite zu den verschiedenen Möglichkeiten eines Facelifts und vereinbaren Sie einen persönlichen Beratungstermin mit unserem Facharzt. Spencer FA, Kroll A, Lessard D, et al. The reason they require release is not because they have weakened, but because the superficial terminal branches are attenuated. Different surgeons have a better comfort level with one of these procedures. Long-term measurement studies are recommended. Fist the sutures don’t slice down  is possible that the different sutures use are absorbable or permanent but ones it heals what maintains the results is the quality of your  skin and what   the SMAS  really helps is the support of the deep tissues and reduction of the skin tension. The patient typically can take a shower during the first postoperative evening. ANATOMY. 1990;85:333–343. Redraping the orbicularis muscle for periorbital rejuvenation increases the risk of facial nerve injury. Lambros V. Fat grafting: a growing problem? Patients should be informed of the possibility of a second operation so that they do not interpret persistent jowls as a surgical failure.38. A welcome benefit of eliminating the temporal incision is reducing the risk of skin necrosis of the cheek portion of the facelift flap. The facelift and neck lift technique that has won the most accord in the recent 15 years is the deep plane facelift type of SMAS lift. This retrospective cohort study was undertaken to clinically evaluate a surgical approach that eliminates the temporal incision. No significant correlations were detected between complications and age, sex, body mass index, smoking history, or previous facelift surgery. After the facelift and cervicoplasty were completed, fat was injected into the undissected subcutaneous tissue layer between the SMAS and the skin. The SMAS was divided just superior to the level of the zygomatic arch. Different surgeons have a better comfort level with one of these procedures. Swanson E. Does sub-SMAS buccal fat pad transposition augment malar volume in facelift patients? The surgeon is either going on top of the muscle or under the muscle to lift. Because the facelift is a long surgery, local anesthesia with regular monitoring helps to ensure you are comfortable and. Viele Menschen fühlen sich bei einem Blick in den Spiegel plötzlich nicht mehr wohl und möchten ihren müden oder gar traurigen Gesichtsausdruck gegen ein wenig jugendliche Frische austauschen. Plast Reconstr Surg. The scissors are used to bluntly dissect in a direction aiming toward the nasal ala. Of note, this is an area of SMAS dissection that does not have a skin flap dissection overlying it (Figure 20.4). 51. This thin yet strong layer covers and connects the muscles and structures of the face, the midface, and the neck together as a continuous fibromuscular tissue. 1992;90:601–607. This stunning 54-year-old patient underwent facial plastic surgery with Dr. Andrew Jacono, resulting in a balanced and youthful appearance just three months post-surgery. Farahvash MR, Yaghoobi A, Farahvash B, et al. Trussler AP, Hatef D, Broussard GB, et al. Stuzin JM. Nach zwei Wochen sollten die Patienten wieder gesellschaftsfähig und die Schwellungen abgeklungen sein. If you look at a surgeon’s portfolio of before and after pictures, and you like what you see, then chances are you will be happy with the type of facelift they offer. Pezeshk RA, Sieber DA, Rohrich RJ. The same analogy applies to the face where the SMAS acts like the bedsheet and the skin the bedspread. Bedenken Sie, dass Ihre Gesundheit und Ihr Wohlbefinden an erster . Figure 20.1 Retrotragal face-lift incision. 2011;128:775–783. Those muscles control your smiling, laughing, and moving your face. There are countless variations of how the SMAS can be manipulated during this surgery. London: Elsevier Saunders; 277–312. Lambros VS. Die SMAS Methode eignet sich insbesondere dazu, ein besonders natürliches Ergebnis zu erzielen. Plast Reconstr Surg. The work cannot be changed in any way or used commercially without permission from the journal. 44. All patients underwent a sub-SMAS facelift (Figs. Plast Reconstr Surg. The SMAS is reflected medially with forceps with teeth, and the dissection is begun on the undersurface of the SMAS with a combination of sharp and electrocautery dissection. Redraping the orbicularis oculi muscle is a well-known method of periorbital rejuvenation.3–5,12 Although effective, this procedure can occasionally cause lower lid retraction.13 Injury to the orbicularis branches of the zygomatic branch of the facial nerve can occur.14,15 Orbicularis preservation and fat grafting offer a safer alternative.13, Inspired by the work of Skoog,16 who first incorporated a deeper tissue level in his facelifts, plastic surgeons in the 1980s and 1990s began performing sub-superficial musculoaponeurotic system (“sub-SMAS” or “deep-plane”) facelifts.3,17,18 Tension is applied to the SMAS, which is relatively strong and unlikely to stretch,19,20 avoiding traction on the skin. Plast Reconstr Surg. An average adult has about ________ square feet of skin. 6). No dressings were used. This is why he has gone on over twenty plastic surgery missions to poor countries around the world and provided free cleft lip and surgery for birth defects to over 500 children. At that time, the bandages will be removed and some bruising and swelling will be seen. Dr. Robert J. Knowling performs facelift surgery using the SMAS technique. Ein Facelift ist grundsätzlich eine geeignete Behandlungsmethode, wenn der Alterungsprozess bereits weiter fortgeschritten ist. 2001;108:1358–1370; discussion 1371. 2002;109:329–340; discussion 341. Agarwal CA, Mendenhall SD III, Foreman KB, et al. Photographs are matched for size and orientation. 501 39. In either case, the SMAS is split at the point that it overlaps the lobule of the ear, allowing some SMAS to be secured anterior and some SMAS to be secured posterior to the ear. Patients with a length of follow-up less than 100 days were excluded from the study. Swanson E. Outcome analysis in 93 facial rejuvenation patients treated with a deep-plane face lift. Carpaneda CA, Ribeiro MT. Deepening of the crease between the nose and lips, Prominent skin around the lower jawline (jowls). But the SMAS is a less invasive facelift, and many people say that the effects of a SMAS facelift look more natural than a traditional facelift. Aesthet Surg J. 2020;145:85–96. Plast Reconstr Surg. 2018;141:527–528. It is important to keep and preserve 5–6 cm of preplatysma fat on the skin flap. Often, the SMAS is not yet completely mobile at this point, and the sub-SMAS dissection needs to be carried further medially in the malar region. A vertical line is drawn along the SMAS paralleling the original skin incision from the zygomatic arch inferiorly along the lateral border of the platysma. New York Center for Facial Plastic Surgery. Omitting a medial platysmaplasty increases the risk of persistent platysmal bands.54 The author’s technique differs from a traditional sequence in that the facelift (Vector 1) is performed first, allowing unrestricted upward mobility of the SMAS, which is in continuity with the platysma.55. In patients with full necks this procedure assisted with debulking the neck. The “macro” fat injection technique calls for volumes of ~1 ml of fat injected under low pressure with each withdrawal stroke of the (blunt-tipped) cannula, paralleling the orbital rim in the cheek, and is typically accomplished in <30 minutes, including fat harvesting. The term "SMAS facelift" simply means that something was done to the SMAS. 9). 48. From 2009 to 2019, 225 consecutive outpatients underwent a sub-SMAS facelift with a triple-vector (superior, lateral, medial) platysmaplasty, either alone or in combination with fat injection, laser resurfacing, blepharoplasties, endoscopic forehead lift, and other cosmetic procedures. Comparisons of the procedure groups revealed no significant difference in age, follow-up time, sex, smoking status, secondary surgery, or body mass index (Table 1). (212) 570.2500 | Fax (212) 249-2264, Long Island Office 2013:3rd ed. The author received no financial support for the research, authorship, and publication of this article. Orbicularis preservation avoids additional dissection, possibly reducing the risk of neuropraxia. To address her concerns, Dr. Jacono performed his signature deep plane facelift to naturally lift the cheeks, a neck lift with platysmaplasty to smooth the neck and jawline. No patient developed clinically evident cyst formation, embolic phenomena, or fat necrosis after fat injection. • Contraindications • SMAS technique • Recovery • Risks and complications What is SMAS facelift? 2. The SMAS facelift works by lifting things back up to where they used to be, rewinding time and making you look at least 10 years younger.FULL ARTICLE: https://drangelasturm.com/how-long-does-a-smas-facelift-last/If you did just one facelift and you never did anything else again, you should always look about 10 to 15 years younger than your age. ically evaluate a surgical approach that eliminates the temporal incision. Anatomy of the midface. No significant correlation was detected between complications and age, sex, body mass index, smoking history, or a previous facelift. Angela Sturm is a double-board certified facial plastic surgeon with certifications with the American Board of Otolaryngology – Head and Neck Surgery and the American Board of Facial Plastic Surgery. Relationship of the zygomatic facial nerve to the retaining ligaments of the face: the sub-SMAS danger zone. The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. This technique offers a reliable and consistent way to rejuvenate the lower . The efficacy of fat macroinjection in the cheek has been demonstrated in serial magnetic resonance images,35 and in standardized photographs that show a sustained increase in malar projection (Fig. 67. Get the latest business insights from Dun & Bradstreet. 2. 58. The individualized component face lift: developing a systematic approach to facial rejuvenation. A similar key suture is placed in the postauricular region (Figure 20.9). Using the frontal branch of the superficial temporal artery as a landmark for locating the course of the temporal branch of the facial nerve during rhytidectomy: an anatomical study. Facial fillers are either natural or synthetic substances that may be injected below the skin to eliminate the fine lines and wrinkles and restore lost volume. Statistical analyses were performed using IBM SPSS for Windows version 21.0 (SPSS, IBM Corp. Armonk, N.Y.). Dr. Sturm’s meticulous nature makes for exceptional results and satisfied patients. Now, an incision can be made that transects the medial portion of the platysma inferiorly. This practice was adopted for all adult patients undergoing surgery under total intravenous anesthesia by the author, not just facelift patients or study patients.10 Scans were performed in the office before surgery, the day after surgery, and ~1 week after surgery.10 Sequential compression devices were applied routinely until 2016, when they were discontinued. Is a pink scalp normal after a hair transplant? The advantage of a deep plane facelift is that you can get a bit better lift in the mid-face. I love how crisp and defined her jawline is and her jowls are gone. Their more superficial branches, which are fine terminal extensions that arborize in the superficial fibrofatty layer,29 have weakened, allowing tissue relaxation and descent.30 Skin tightening is inadequate to correct jowls because of its elasticity and its inability to provide much traction on the deeper tissues.30 Simply performing a SMAS plication without release of the retaining ligaments cannot be expected to provide much vertical movement of the superficial tissues,28,33 because these ligaments are quite strong (often making an audible snap when released). SMAS Plication Facelift - StatPearls - NCBI Bookshelf Facial rejuvenation techniques have increased in number and complexity over the past several decades, with demand for these procedures steadily increasing since the early twentieth century. Das SMAS Facelift ist im Vergleich zu anderen Methoden ein kostenintensiveres Lifting. Introduction. 1 Most people continue to look 10 to 15 years younger, but over time the results of aging gradually reappear about 10 to 15 years after the procedure. Restoring facial shape in face lifting: the role of skeletal support in facial analysis and midface soft-tissue repositioning. A line is drawn from a point just lateral to the lateral canthus and extending caudally toward the body of the mandible. 28. Corset platysmaplasty. 49. This release allows greater mobility of the tissue and removes tension from the skin, placing it on the less-elastic SMAS layer instead. The SMAS facelift is slightly safer whenever it comes to the facial nerve. Plast Reconstr Surg. The extratemporal facial nerve and its branches: analysis of 42 hemifacial dissections in fresh Persian (Iranian) cadavers. Das Leben hinterlässt Spuren in unserem Gesicht und nicht immer werden die Zeichen der Zeit als ästhetisch von uns wahrgenommen. Facial fillers have seen tremendous development in the past decade. The terms plastic surgery and cosmetic surgery are often used interchangeably. A face lift is a surgical procedure that involves the removal of excess facial skin to promote a more youthful appearance. Under your skin you have fat and under that is a layer of muscle. Sie können somit auch selbst dazu beitragen, das Ergebnis möglichst lange aufrechtzuerhalten, gleichzeitig tun Sie damit Ihrem allgemeinen Wohlbefinden etwas Gutes. Aesthetic Plast Surg. 38. For SMAS facelift recovery photos, ask your nurse or Dr. Jacono, and he can show you the kind of bruising and swelling you can expect in your face. 26. Mit dem Alter verändert sich die Elastizität der Haut und lässt uns älter wirken. This allows the platysma to redrape itself in a more anatomic and youthful position and removes tension on the platysmaplasty. Recovery is reasonably swift after a SMAS facelift. All incisions are closed with 4-0 and 6-0 nylon suture. There was a girl on his school bus route who was born with a cleft lip and palate deformity. The deep plane facelift is done under the muscle, while the SMAS is done on top of the muscle, but both procedures reposition the muscle, thereby lifting the face. This will reduce both postoperative hematoma and edema.
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