The Modern Minimally Invasive Face Lift : Has It Replaced the Traditional Access Approach? - 02/06/13

Doi : 10.1016/j.fsc.2013.02.002

Andrew A. Jacono, MD ^a,^b,^c,^d,^⁎ , Joseph J. Rousso, MD ^d
^a Facial Plastic and Reconstructive Surgery, North Shore University Hospital, Manhasset, NY, USA
^b Facial Plastic Surgery, The New York Eye and Ear Infirmary, New York, NY, USA
^c Department of Otorhinolaryngology, Head and Neck Surgery, The Albert Einstein College of Medicine, Bronx, NY, USA
^d The New York Center for Facial Plastic and Laser Surgery, 440 Northern Boulevard, Great Neck, NY 11021, USA

Corresponding author. 440 Northern Boulevard, Great Neck, NY 11021.

Résumé

Because modern facelift patients desire a less-invasive approach or minimally invasive approach to reduce visible scarring and decrease the recovery phase, achieving the surgeon’s goal of optimal, reliable, and long-term aesthetic results with few complications becomes a challenge. The authors use the terms minimal access and traditional access to describe rhytidectomy approaches based solely on incision size. A short-incision, minimal-access approach with a deep-plane extended dissection is presented. A preoperative physical examination maneuver to evaluate a patient’s candidacy for a minimal-access approach and guidelines for when to include platysmaplasty with the procedure to further improve cervicomental contour are described.

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Keywords : Facelift, Minimally invasive facelift, Rhytidectomy, SMAS, Deep plane facelift, Vertical facelift, Short scar facelift, Minimal access facelift, Facial rejuvenation, Modern facelift, MADE facelift