Facial Plast Surg 2022; 38(06): 575-583
DOI: 10.1055/a-1849-5356
Original Article

The Extended Superficial Musculoaponeurotic System Deep Plane Facelift

1   Department of Facial Plastic Surgery, Meridian Plastic Surgery Center, Indianapolis, Indiana
,
Stephen W. Perkins
1   Department of Facial Plastic Surgery, Meridian Plastic Surgery Center, Indianapolis, Indiana
› Author Affiliations

Abstract

Over the past four decades, the senior author has evolved and perfected his preferred method for face and neck lifting, the extended superficial musculoaponeurotic system deep plane rhytidectomy, and submentoplasty. With this procedure, the superficial musculoaponeurotic system layer is addressed both in the face and neck, repositioning the tissues in a superior and posterior vector and creating a sling in the cervicomental area. Outcomes have proven to be both successful and long lasting. In this article, a detailed update and discussion of the specific techniques utilized are provided.



Publication History

Accepted Manuscript online:
11 May 2022

Article published online:
29 September 2022

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  • References

  • 1 Perkins SW, Waters HH. The extended SMAS approach to neck rejuvenation. Facial Plast Surg Clin North Am 2014; 22 (02) 253-268
  • 2 Shadfar S, Perkins SW. Anatomy and physiology of the aging neck. Facial Plast Surg Clin North Am 2014; 22 (02) 161-170
  • 3 Givens VB, Perkins SW. Preoperative imaging and online photo galleries: the #key to surgical commitment. Surg J (NY) 2021; 7 (04) e322-e326
  • 4 Hu S, Klimczak JA, Adams A. et al. Tranexamic acid in rhytidectomy: A split-face, randomized controlled trial. In preparation
  • 5 Brobst R, Sufyan A, Perkins SW. Kelly clamp technique for submental plastysmaplasty: evaluation of long-term outcomes. In preparation