Abstract
The triangular SMAS flap technique was developed through a thorough understanding of the morphological and anatomical problems of the aging Oriental face. A unique manipulation of two triangular SMAS flaps—TSF-1 and TSF-2—permits three-directional lifting of the SMAS, which provides supportive and distributive lifting while reducing unwanted tension in the skin. TSF-1 is the excess portion of the main SMAS flap which results from cephalic lifting in the zygomatic area. TSF-2 is created from the excess portion produced by posterior advancement in the preauricular area, and is rotated to the postauricular area. Use of the TSF-1 flap involves complete excision, folding under, or free grafting. The retroauricular TSF-2 flap indirectly achieves platysmal plication. The author evaluates ten years of experience with the triangular SMAS flap technique and describes the entire aspect of the aging face in Orientals.
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The triangular SMAS flap technique was first presented at the 6th Congress of the International Society of Aesthetic Plastic Surgery, Tokyo, Japan, September 28–October 2, 1981
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Shirakabe, Y. The oriental aging face: An evaluation of a decade of experience with the triangular SMAS flap technique in facelifting. Aesth. Plast. Surg. 12, 25–32 (1988). https://doi.org/10.1007/BF01570381
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DOI: https://doi.org/10.1007/BF01570381