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KMID : 1160320180020010032
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Journal of Cosmetic Medicine
2018 Volume.2 No. 1 p.32 ~ p.40
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Short-scar facelift technique combining malar fat pad suspension and lamellar low superficial musculo-aponeurotic system excision
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de Larrazabal Angel A.
Collantes-Jose Corazon
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Abstract
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Background: Minimally invasive surgery is already at the forefront in all surgical specialties, including cosmetic surgery. Hence, we have adapted and modified our technique to offer a short-scar facelift with minimal tissue dissection and manipulation to surgically rejuvenate the aging face.
Objective: This study aimed to surgically address the aging face and neck by employing this modified short-scar rhytidectomy with minimal dissection, manipulation, and using the correct vector suited for Asian faces as an alternative and innovative surgical procedure.
Methods: We performed this short-scar facelift by combining the malar fad pad suspension and lamellar low superficial musculo-aponeurotic system (SMAS) excision
Results: From 2015 to 2017, we have performed 51 facelift procedures with our modification, with 8 men and 43 women, with a mean age of 64.30 years (range, 50-78 years). Of the 51 patients, 29 patients (56.86%) had regular follow-ups. Three complications were noted. One developed post-operative hematoma. The other developed seroma formation. The third developed split thickness skin necrosis. Majority of our patients were satisfied with the results.
Conclusion: This combined malar fat pad suspension and lamellar low SMAS excision technique is a simple, safe, and effective alternative procedure for facelift.
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KEYWORD
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malar fat pad suspension, short-scar facelift, SMASectomy, superficial musculo-aponeurotic system excision
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