Abstract
In this article, Dr. Stephen W. Perkins, a seasoned facial plastic surgeon, presents
his refined techniques in facelift surgery developed over four decades of practice.
His evolution from traditional methods to the current composite tissue deep plane
facelift is elucidated. His composite tissue deep plane facelift involves meticulous
dissection and repositioning of the superficial musculoaponeurotic system (SMAS) and
platysma in the deep plane, as well as incorporating his innovative “Perkins' Kelly
clamp anterior platysmaplasty.” This technique, refined through years of experience,
aims for natural, enduring results, crucially addressing patient concerns such as
jowling and neck laxity. Long-term analysis reveals the advantages of Dr. Perkins'
technique, particularly in achieving sustained cervicomental angle improvement for
over a decade postoperatively. This article underscores the importance of understanding
deep plane facelift techniques, distinguishing between different approaches, and tailoring
surgical interventions to individual patient characteristics. Dr. Perkins' comprehensive
approach, incorporating advancements in surgical technique and meticulous patient
care protocols, exemplifies the goal of achieving natural, long-lasting facial rejuvenation.
Keywords
facelift - deep plane - rhytidectomy - SMAS - neck lift
