Aesthetic Surgery of the Face and Neck(1)
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 :
1、Identify the essential anatomy of the face as it relates to facelift surgery.
2、Describe the common types of facelift procedures, including their strengths and weaknesses.
3、Apply appropriate preoperative and postoperative management for facelift patients.
4、Describe 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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