Facial lift
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Transcript of Facial lift
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Naranjargalan.N M.SJuly 15, 2015
15th presentation
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Preoperative evaluationExplore patient’s desires and motivations SAFE
Self-image Anxiety Fear Expectation
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Potential contraindications Diabetes Smoking Collagen-vascular disease Psychiatric history Steroid use
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Clinical Evaluation“Face-lift”
Chin/neck liftNasolabial foldFine or deep rhytids
Ideal patientElastic and not too
much skinLittle fatGood bone structure
(hyoid)
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Clinical EvaluationLess than ideal
candidatesDiscuss
expectations in detail
Need for other procedures
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Clinical EvaluationImportant to
assess hyoid positionHigh hyoid is ideal
for cervicomental angle
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Clinical EvaluationAdjunctive
TechniquesLaser peelDermabrasionChemical peelNeck treatmentImplantsBlepharoplastyForehead liftRhinoplasty
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Anatomy (SMAS)Superficial Musculoaponeurotic System
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SMASFacial nerve lies deep to the SMASPosteriorly, the SMAS fuses with the fascia
overlying the sternocleidomastoid muscle, but it is a distinct layer superficial to the parotid fascia
Anterosuperiorly, the SMAS invests the facial mimetic muscles of the mid-face (i.e., orbicularis oculi, zygomatic major/minor, levator labii superioris) the melolabial crease and upper lip
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Scalp galea
Upper face continuous with frontalis and
orbicularis oculi Temporal region
temporoparietal fascia (superficial temporal fascia)
Parotid region dense fibrous layer overlying
parotid gland Cheek
thin layer invests superficial mimetic muscles
Lower face continuous with platysma
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Facial Artery and Nerve
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The most dangerous places
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Temporal branch is most superficialCrosses junction of
anterior 1/3 and posterior 2/3 of zygomatic arch
Above the arch it travels in the temporoparietal fascia to innervate frontalis and orbicularis oculi
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PlatysmaOrigin: clavicles and
1st rib and 5 cm below the angle of the mandible
Insertion: blends with the SMAS and lip depressors
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TechniquesSubcutaneous liftSMAS liftDeep-plane liftComposite liftSubperiosteal lift
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Incisions
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Incision technique
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Subcutaneous lift (full tickness skin graft)
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Subcutaneous lift
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Subcutaneous lift
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Subcutaneous lift
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Subcutaneous lift
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Subcutaneous lift
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Subcutaneous lift
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Subcutaneous lift
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SMAS Facelift
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SMAS Facelift Rotation of the SMAS-platysma flap
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SMAS Facelift
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SMAS Facelift
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SMAS Facelift
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SMAS FaceliftUsually with
liposuction and submental incision
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SMAS Facelift
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SMAS incision
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Differences
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Skin reduction and platysma muscle repositioning
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Deep plane rhytidectomy
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Deep Plane FaceliftSkin reduction,
platysma muscle repositioning and cheek fat repositioning
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Composite Face Lift
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Composite Face Lift
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Elevates and repositions the m.orbicular, the cheek fat and platysma muscle
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MACS lift Minimal access cranial suspension Insicion is including skin fold of front of the
ear and following hairline
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Suturing First suture is going from deep temporalis
fascia to angle between the mandible and the neck.
Second suture is going from deep temporalis fascia to cyrcle between the cheek . It is parallel with nasolabial fold.
Third suture lift the lower eyelid and malar.
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Complications Hematoma Skin flap necrosis Nerve injury
Greater auricular Frontal
Pixie earHairline changes Hypertrophic scar and widening of scarAlopecia Infection
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