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The Technique and Legacy of the Lateral SMASectomy to Rhytidoplasty

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Aesthetic Facial Surgery

Abstract

The authors describe their approach to the facial rejuvenation surgery, emphasizing the mobilization of deep face structures. They consider the lateral SMASectomy as efficient as the traditional SMAS (superficial aponeurotic muscle system) flap, but a faster, simpler, and safer procedure. The lateral SMASectomy has been the authors’ elected technique, when the mobilization of the tissues of the lower third of the face is indicated. Complementary procedures, possible complications and intercurrences, and the details to achieve an optimal result in facial rejuvenation surgery are presented.

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References

  1. Mitz V, Peyronie M. The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg. 1976;58(1):80–8.

    Article  CAS  Google Scholar 

  2. Pitanguy I. Ritidoplastia facial y cervical. In: Coiffman F, editor. Texto de Cirugia Plastica, Reconstructiva Y Estetica. Barcelona: Salvat Editores; 1986. p. 861–86.

    Google Scholar 

  3. Pitanguy I. Rhytidoplasty: eclectic solution of the problem. Minerva Chir. 1967;22(17):942–7.

    CAS  PubMed  Google Scholar 

  4. Pontes R. O Universo da Ritidoplastia. Rio de Janeiro: Revinter; 2011. p. 119–46.

    Google Scholar 

  5. Baker DC. Lateral SmaSectomy. Plast Reconst Surg. 1997;100:509–13.

    Article  CAS  Google Scholar 

  6. Castro CC. Evolução Histórica. In: Castro CC, editor. Cirurgia de Rejuvenescimento Facial. Rio de Janeiro: MEDSI; 1998. p. 0.21–6.

    Google Scholar 

  7. Coleman WP 3rd. History of face lifting. In: Moy RL, Fincher EF, editors. Procedures in cosmetic dermatology series: advanced face lifting. Philadelphia: Elsevier Health Sciences; 2006. p. 1.

    Google Scholar 

  8. Owsley JQ Jr. Platysma-fascial rhytidectomy: a preliminary report. Plast Reconstr Surg. 1977;60(6):843–50.

    Article  Google Scholar 

  9. Stuzin JM, Baker TJ, Gordon HL, Baker TM. Extended SMAS dissection as an approach to midface rejuvenation. Clin Plast Surg. 1995;22(2):295–311.

    Article  CAS  Google Scholar 

  10. Hamra ST. Composite rhytidectomy. Plast Reconstr Surg. 1992;90(1):1–13.

    Article  CAS  Google Scholar 

  11. Nahai F. The aesthetic surgeon’s “new normal”. Aesthet Surg J. 2015;35(1):105–7.

    Article  Google Scholar 

  12. Mendelson BC. Correction of the nasolabial fold: extended SMAS dissection with periosteal fixation. Plast Reconstr Surg. 1992;89(5):822–33; discussion 834–5

    Article  CAS  Google Scholar 

  13. Mendelson BC. Surgery of the superficial musculoaponeurotic system: principles of release, vectors, and fixation. Plast Reconstr Surg. 2002;109(2):824–5.

    Article  Google Scholar 

  14. Tonnard P, Verpaele A, Peeters G. Nanofat grafting: basic research and clinical applications. Plastic Reconst Surg. 1976;58(1):80–8.

    Article  Google Scholar 

  15. Bersou AJA. Lipoenxertia: técnica expansiva. Rev Bras Cir Plast. 2008;23(2):89–97.

    Google Scholar 

  16. Ramirez OM. Why I prefer the endoscopic forehead lift. Plast Reconstr Surg. 1997;100(4):1033–9; discussion 1043–6

    Article  CAS  Google Scholar 

  17. Stocchero IN. Shortscar face-lift with the roundblock SMAS treatment: a younger face for all. Aesthetic Plast Surg. 2007;31(3):275–8.

    Article  Google Scholar 

  18. Labbé D, Giot JP, Kaluzinski E. Submental Area Rejuvenation by Digastric Corset: Anatomical Study and Clinical Application in 20 Cases. Aesth Plast Surg. 2013;37:222–31. https://doi.org/10.1007/s00266-013-0083-7.

    Article  Google Scholar 

  19. Auersvald A, Auersvald LA, Simões MLPB. Hemostatic net: an alternative for the prevention of hematoma in rhytidoplasty. Rev Bras Cir Plást. 2012;27(1):22–30.

    Article  Google Scholar 

  20. Barton FE Jr. Aesthetic surgery of the face and neck. Aesthet Surg J. 2009;29(6):449–63; quiz 464–6

    Article  Google Scholar 

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Correspondence to Arnaldo Lobo Miró .

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Miró, A.L., Fernandes, J.W. (2021). The Technique and Legacy of the Lateral SMASectomy to Rhytidoplasty. In: Avelar, J.M. (eds) Aesthetic Facial Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-57973-9_36

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  • DOI: https://doi.org/10.1007/978-3-030-57973-9_36

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-57972-2

  • Online ISBN: 978-3-030-57973-9

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