Skip to main content
Log in

Tiefe Suspensionsnähte zur Optimierung des SMAS-Liftings

Deep suspension sutures to improve the SMAS facelift

  • Leitthema
  • Published:
Journal für Ästhetische Chirurgie Aims and scope

Zusammenfassung

Der Erfolg eines Gesichtsliftings hängt wesentlich von der erzielten Verschönerung und Verjüngung der Halskonturen ab. Als sehr hilfreich hat sich schon lange die Methode des SMAS-Liftings erwiesen, bei der die straffenden Kräfte von der Haut in die tieferen Schichten verlagert werden, wo auch eine dreidimensionale Formkorrektur erfolgen kann.

Die hier beschriebene Anwendung zusätzlicher Fixationsnähte unter dem SMAS und dem Platysma ermöglicht eine noch effektivere Kontrolle und Optimierung der Halskonturen und reduziert das Risiko von Nachblutungen.

Abstract

The success of a facelift is measured largely by its effectiveness in improving neck contours. Multilayer SMAS techniques have long been proven to work very well as they enable the skin’s own lifting properties to be transferred to deep layers of the face, where three-dimensional contouring can be performed.

We describe a new technique of additional fixation sutures below the SMAS and the platysma muscle. With these sutures the effectiveness of traditional SMAS facelifts can be improved in terms of neck contouring. The technique also reduces the risk of secondary bleeding.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6
Abb. 7
Abb. 8
Abb. 9
Abb. 10
Abb. 11

Literatur

  1. Connell BF (1987) Facial rejuvenation. In: Brent B (ed) The artistry of reconstructive surgery. Mosby, St Louis, pp 365–381

  2. Connell BF (1987) Neck contour deformities. The art, engineering, anatomic diagnosis, architectural planning and aesthetics of surgical correction. Clin Plast Surg 14:683–692

    PubMed  CAS  Google Scholar 

  3. Connell BF, Marten TJ (1994) Deep layer techniques in cervico-facial rejuvenation. In: Psillakis J (ed) Deep facelifting techniques. Thieme, New York, pp 161–190

  4. Connell BF, Marten TJ (1994) Facelift. In: Cohen M (ed) Mastery of plastic and reconstructive surgery. Little Brown, Boston, pp 1873–1902

  5. Mitz V, Peyronie M (1976) The superficial musculoaponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg 58:80–88

    Article  PubMed  CAS  Google Scholar 

  6. Furnas DW (1989) The retaining ligaments of the cheek. Plast Reconstr Surg 83:11–16

    Article  PubMed  CAS  Google Scholar 

  7. Marten TJ (1997) Facelift. Planning and technique. Clin Plast Surg 24:269–308

    PubMed  CAS  Google Scholar 

  8. Marten TJ (2005) Maintenance facelift: early facelift for the younger patient. Course #802, The Aesthetic Meeting, New Orleans

  9. Muggenthaler F (2007) Der Neck Check – ein neues Analyseverfahren zur Bestimmung der Halsästhetik. face international magazine of orofacial esthetics 4:26–33

    Google Scholar 

  10. Muggenthaler F (2008) Das umfassende Gesichtslifting. MKG-Chirurg. Heft 3:176–180

    Google Scholar 

  11. Randall P, Skiles MS (1984) The „SMAS sling“: an additional fixation in face lift surgery. Ann Plast Surg 12:5–9

    Article  PubMed  CAS  Google Scholar 

  12. Skoog T (1969) Useful techniques in face lifting. Presented at the Annual Meeting of the American Association of Plastic and Reconstructive Surgeons, San Francisco

  13. Stuzin JM, Baker TJ, Gordon HL (1992) The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. Plast Reconstr Surg 89:441–449

    Article  PubMed  CAS  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to F. Muggenthaler.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Muggenthaler, F. Tiefe Suspensionsnähte zur Optimierung des SMAS-Liftings. J. f. Ästhet. Chirurgie 2, 123–128 (2009). https://doi.org/10.1007/s12631-009-0033-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12631-009-0033-z

Schlüsselworte

Keywords

Navigation