I have read that plication of SMAS is preferred in patients with thin faces and that SMASectomy is preferred in patients with fuller faces. BUT then, I have also read that bunching can occur with plication of SMAS in thin faces. Is the bunching issue more or less prevalent in purse string plication lifts? Or is it technique specific to the surgeon as to whether plication results in bunching or added/needed fullness? Thank you!
Answer: Face-neck lifting in thin individuals. In thin patients with advanced volume in the face, the ideal method to restore volume is with a fat transfer procedure. This can often be combined with a face-neck lift procedure either simultaneously or on a delayed basis. In all cases, the ideal plane of dissection for a face-neck lift is in the deep plane with minimal interruption of the SMAS-cutaneous layer. This allows for re-positioning of a more robust and better vascularized tissue flap with less risk of tissue atrophy or further thinning.Mario J. Imola, MD, DDS, FRCSC, FACS.
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Answer: Face-neck lifting in thin individuals. In thin patients with advanced volume in the face, the ideal method to restore volume is with a fat transfer procedure. This can often be combined with a face-neck lift procedure either simultaneously or on a delayed basis. In all cases, the ideal plane of dissection for a face-neck lift is in the deep plane with minimal interruption of the SMAS-cutaneous layer. This allows for re-positioning of a more robust and better vascularized tissue flap with less risk of tissue atrophy or further thinning.Mario J. Imola, MD, DDS, FRCSC, FACS.
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July 22, 2015
Answer: SMAS plication vs SMASectomy Thank you for posting your question. I would choose your surgeon based on his experience, results, and your comfort level with him. I have performed facelifts with either SMAS plication or SMASectomy. SMAS plication involves folding the muscle and sewing onto itself like a pleat. SMASectomy involves resection of the muscle and sewing together the cut edges. I personally favor the SMASectomy as i feel it will last longer, and gives a smoother contour. The SMAS plication may be appropriate in certain instances such as excessive scar tissue or thin SMAS. It does add fullness. However, I do feel that SMAS plication does not add volume where volume is needed. If you are thin and volume deficient, fat grafting would be performed to add fullness where it is needed. Please consult with a few board certified surgeons to help make your decision.
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July 22, 2015
Answer: SMAS plication vs SMASectomy Thank you for posting your question. I would choose your surgeon based on his experience, results, and your comfort level with him. I have performed facelifts with either SMAS plication or SMASectomy. SMAS plication involves folding the muscle and sewing onto itself like a pleat. SMASectomy involves resection of the muscle and sewing together the cut edges. I personally favor the SMASectomy as i feel it will last longer, and gives a smoother contour. The SMAS plication may be appropriate in certain instances such as excessive scar tissue or thin SMAS. It does add fullness. However, I do feel that SMAS plication does not add volume where volume is needed. If you are thin and volume deficient, fat grafting would be performed to add fullness where it is needed. Please consult with a few board certified surgeons to help make your decision.
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March 3, 2015
Answer: Facelift in Thin Faces Whether you have a SMASectomy or SMAS plication, you will thin out your face in your lower half, although the SMASectomy will have greater longevity of the lift. If your cheek thins out too much, this can be injected with fat at the time of the facelift or later with fillers.
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March 3, 2015
Answer: Facelift in Thin Faces Whether you have a SMASectomy or SMAS plication, you will thin out your face in your lower half, although the SMASectomy will have greater longevity of the lift. If your cheek thins out too much, this can be injected with fat at the time of the facelift or later with fillers.
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March 2, 2015
Answer: Best Facelift For A Thin Face One of the challenges of a thin face is creating volume to help balance and improve the dimensions of the face. In some facelifts, the SMAS layer is resected and removed from the patient's face. In a thinner faced individual, ideally deeper tissues are preserved and repositioned to help with volumetric imbalance. I prefer a version of deep plane facelift, but am conscious of creation of preservation of volume. Other measures such as fat transfer and fillers can be helpful in achieving volume to your face if necessary.An in person consultation with a facelift expert can be helpful.
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March 2, 2015
Answer: Best Facelift For A Thin Face One of the challenges of a thin face is creating volume to help balance and improve the dimensions of the face. In some facelifts, the SMAS layer is resected and removed from the patient's face. In a thinner faced individual, ideally deeper tissues are preserved and repositioned to help with volumetric imbalance. I prefer a version of deep plane facelift, but am conscious of creation of preservation of volume. Other measures such as fat transfer and fillers can be helpful in achieving volume to your face if necessary.An in person consultation with a facelift expert can be helpful.
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March 2, 2015
Answer: There is no specific type the facelift that is best for a given clinical situation. I almost always perform a full composite facelift on patients presenting with facial aging. In my opinion it gives a predictably good result and is very safe. I patients are prepared by viewing multiple galleries of patients that have undergone this operation in particular those with very similar aesthetic problems.
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March 2, 2015
Answer: There is no specific type the facelift that is best for a given clinical situation. I almost always perform a full composite facelift on patients presenting with facial aging. In my opinion it gives a predictably good result and is very safe. I patients are prepared by viewing multiple galleries of patients that have undergone this operation in particular those with very similar aesthetic problems.
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