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Extent of SMAS Advancement in Facelift with or without Zygomaticus Major Muscle Release

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Advanced Surgical Facial Rejuvenation

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Abstract

While skin excisions serve to tighten skin and reduce wrinkles, skin does not function well as a supportive structure. The most substantial addition to the myriad of techniques has been Incorporation of SMAS advancement and the lifting and anchoring of midface soft tissue. Liposuction or direct fat excision of the jowl can reduce fullness low in the cheek. When patients have more extensive jowling, then maximal movement of the SMAS medially becomes necessary for correction. SMAS flap release can define the extent of movement medially and laterally. The author discusses the strategy and selection of SMAS flap. Multiple strategies have evolved to maximize midface soft tissue repositioning. In order to maximize SMAS lifting, various authors have advocated more aggressive elevation and release of the retaining ligaments. Challenges still lie in the selection of the most advantageous flap design for a specific set of contour abnormalities.

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Authors and Affiliations

  1. The Aesthetic Center for Plastic Surgery, 4400 Post Oak Dkwy, 2260, Houston, TX, 77027, USA

    Henry A. Mentz III

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  1. Henry A. Mentz III
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Correspondence to Henry A. Mentz III .

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  1. Pear Tree Cottage, Cambridge Road, Wimpole 43, Cambridge, SG8 5QD, United Kingdom

    Anthony Erian

  2. Chatham Drive 17501, Tustin, 92780-2302, California, USA

    Melvin A. Shiffman

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© 2012 Springer-Verlag Berlin Heidelberg

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Mentz, H.A. (2012). Extent of SMAS Advancement in Facelift with or without Zygomaticus Major Muscle Release. In: Erian, A., Shiffman, M. (eds) Advanced Surgical Facial Rejuvenation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-17838-2_34

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  • DOI: https://doi.org/10.1007/978-3-642-17838-2_34

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-17837-5

  • Online ISBN: 978-3-642-17838-2

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