Rhytidectomy

7.15.1 Give us a table of facelift complications. How would you treat each?

7.15.2 Discuss the anatomy of the SMAS, platysma and the facial nerve. Please help us understand the temporal fascia and temporoparietal fascia. Do the nerves travel in the superficial layer of the deep temporal fascia, or the deep layer of the superficial temporal fascia? I am so confused!

7.15.3 A middle aged woman inquires about a facelift. She wants a dramatic result. Her friend recently underwent a subperiosteal facelift with a well-known plastic surgeon. How is this procedure performed? What are its shortcomings? How does this differ from the deep plane facelift? What is a composite facelift?

7.15.4 A patient seeks your expert opinion on the management of her deep nasolabial folds. What are her options?

Robertson KM, Dyer WK 2nd. Expanded polytetrafluoroethylene (Gore-Tex) augmentation of deep nasolabial creases. Arch Otolaryngol Head Neck Surg. 1999 Apr;125(4):456-61. PMID:10208685

Rudkin G, Miller TA. Aging nasolabial fold and treatment by direct excision. Plast Reconstr Surg. 1999 Oct;104(5):1502-5; discussion 1506-7. PMID:10513936

7.15.5 Is it safe to lift and peel at the same time?

Fulton JE. Simultaneous face lifting and skin resurfacing. Plast Reconstr Surg. 1998 Dec;102(7):2480-9. PMID:9858190

Dingman DL, Hartog J, Siemionow M. Simultaneous deep-plane face lift and trichloroacetic acid peel. Plast Reconstr Surg. 1994 Jan;93(1):86-93; discussion 94-5. PMID:8278488

7.15.6 What are the retaining ligaments of the face and why are they important?

Stuzin JM, Baker TJ, Gordon HL. The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. Plast Reconstr Surg. 1992 Mar;89(3):441-9; discussion 450-1. PMID:1741467

7.15.7 Discuss the blood supply of a face lift flap.

Schuster RH, Gamble WB, Hamra ST, Manson PN. A comparison of flap vascular anatomy in three rhytidectomy techniques. Plast Reconstr Surg. 1995 Apr;95(4):683-90. PMID:7892312

7.15.8 Describe the anatomy of nasolabial folds.

7.15.9 Correct an aging neck.

Kamer FM, Lefkoff LA. Submental surgery. A graduated approach to the aging neck. Arch Otolaryngol Head Neck Surg. 1991 Jan;117(1):40-6. PMID:1986759

7.15.10 Discuss cervical suspension.

Conrad K, Chapnik JS, Reifen E. E-PTFE (Gore-Tex) suspension cervical facial rhytidectomy. Arch Otolaryngol Head Neck Surg. 1993 Jun;119(6):694-8. PMID:8499106

7.15.11 How do deep-plane and composite rhytidectomies compare to the traditional SMAS procedures?

Godin MS, Johnson CM Jr. Deep-plane/composite rhytidectomy. Facial Plast Surg. 1996 Jul;12(3):231-9. PMID:9243992

7.15.12 Discuss wrinkle fillers-such as collagen, fat, hyaluronic acid etc…

7.15.13 Should you treat the male face lifts patients differently? What is a "grecian urn" procedure? What are the advantages and disadvantages to this approach?

7.15.14 What is Thermage? Does it really work or is it a gimmick?