Subfascial lifting

Abstract

The authors demonstrate by anatomical dissection that inaccuracies made by classical anatomists have worried plastic surgeons for many years. They demonstrate that continuity between the parotid fascia and the fibrous platysma has not been recognized. In addition, anatomists in the past have not been aware that the platysma is a unique type of fasciomuscular layer because in contrast to conventional anatomical opinions, the platysma has no bony attachment to the mandible.

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References

  1. 1.

    Aufricht G: Surgery for excess skin of the face. Trans 2nd Intl Congr Plast Surg. Edinburg: E & S Livingstone Ltd, 1960, pp 495–508

    Google Scholar 

  2. 2.

    Bourguet J: La disparition chirurgicale des rides et plis du visage. Bull Acad Med82:183, 1919

    Google Scholar 

  3. 3.

    Gray H: Anatomy of the Human Body, 35th ed, Warwick A, Williams P (eds). London: Longman, 1973.

    Google Scholar 

  4. 4.

    Guerrero-Santos J, Espaillat L, Morales F: Muscular lift in cervical rhytidoplasty. Plast Reconstr Surg54:127, 1974

    PubMed  Google Scholar 

  5. 5.

    Jost G, Levet Y: Parotid fascia and face lifting: A critical evaluation of the SMAS concept. Plast Reconstr Surg74:42, 1984

    PubMed  Google Scholar 

  6. 6.

    Jost G, Wassef M: Reply to correspondence on “Parotid fascia and face lifting: A critical evaluation of the SMAS concept (Plast Reconstr Surg74:42, 1984). Plast Reconstr Surg75:439, 1985

    PubMed  Google Scholar 

  7. 7.

    Mitz V, Peyronie M: The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg58:80, 1976

    PubMed  Google Scholar 

  8. 8.

    Owsley JQ: Platysma-fascial rhytidectomy. Plast Reconstr Surg60:843, 1977

    PubMed  Google Scholar 

  9. 9.

    Pennizi V, Capozzi A: The transposition of fat in cervicofacial rhytidectomy. Plast Reconstr Surg49:423, 1972

    PubMed  Google Scholar 

  10. 10.

    Pensler JM, Ward JW, Parry SW: The superficial musculoaponeurotic system in the upper lip: an anatomic study in cadavers. Plast Reconstr Surg75:488, 1985

    PubMed  Google Scholar 

  11. 11.

    Rees TD: Aesthetic Plastic Surgery. Philadelphia: W.B. Saunders, 1980

    Google Scholar 

  12. 12.

    Rouviere H: Anatomie Humaine Descriptive, Topographique et Fonctionnelle, 11th ed. Paris: Masson, 1974, vol 1

    Google Scholar 

  13. 13.

    Saban R: In: Grasse PP (ed), Peauciers de la Face et du Cou. Traité de Zoologie. Paris: Masson, 1972

    Google Scholar 

  14. 14.

    Skoog T: Plastic Surgery: New Methods and Refinements. Philadelphia: W. B. Saunders, 1974

    Google Scholar 

  15. 15.

    Testut L, Latrajet A: Traité d'Anatomie Humaine. Paris: Doin, 1949, tome IV

    Google Scholar 

  16. 16.

    Truffert P: Le Cou: Anatomie Topographique. Paris: Arnette, 1922

    Google Scholar 

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Correspondence to G. Jost M.D..

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Jost, G., Wassef, M. & Levet, Y. Subfascial lifting. Aesth. Plast. Surg. 11, 163–170 (1987). https://doi.org/10.1007/BF01575504

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Key words

  • Facial muscles
  • Comparative anatomy
  • Platysma
  • Parotid fascia
  • Subfascial face lifting