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Aesthetic Surgery of the Face and Neck1

Fritz E. Barton Jr., MD1, ,

Aesthetic Surgery Journal

Volume 29, Issue 6, November–December 2009, Pages 449–463

Continuing Medical Education Article

 

Learning Objectives

The reader is presumed to have a basic understanding of facial anatomy and facial rejuvenation procedures. After reading this article, the reader should also be able to :

1Identify the essential anatomy of the face as it relates to facelift surgery.

2Describe the common types of facelift procedures, including their strengths and weaknesses.

3Apply appropriate preoperative and postoperative management for facelift patients.

4Describe common adjunctive procedures.

 

Modern aesthetic surgery of the face began in the first part of the 20th century in the United States and Europe. Initial limited excisions gradually progressed to Skin undermining and eventually to a variety of methods for Contouring the subcutaneous facial tissue. This particular review focuses on the cheek and neck. While the lid–cheek junction, eyelids, and brow must also be considered to obtain a harmonious appearance, those elements are outside the scope of this article. Overall patient management, including patient selection, preoperative preparation, postoperative care, and potential complications are discussed.

 

Figure 1. Relationship of the SMAS to other facial structures and the nasolabial fold.

 

Figure 2. Facial retaining ligaments.

 

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