ABSTRACT
There is an unprecedented acceptance of rhytidectomy by today's society. No longer
limited to the affluent few, middle class citizens are devoting their expendable income
to achieve a more youthful appearance that is natural and inconspicuous. Despite recent
difficult economic times, the mindset of the working population continues to be welcoming
of rhytidectomy as a way to achieve a refreshed look while expecting minimal downtime
and morbidity. To achieve these results, the current literature has described an array
of techniques; however, there is no consensus on a preferred method, which reflects
limitations and advantages inherent to every style of face-lifting. Each individual
patient will have specific needs, and it is key for the facial plastic surgeon to
select a technique that can address those areas most affected by the aging process.
Whichever method used, an emphasis on safety is of the utmost importance. A solid
understanding of the relevant anatomy is imperative as is the awareness of how to
best avoid complications. Rhytidectomy can be a challenging procedure, and although
complications are fortunately rare, they can be cosmetically devastating and poorly
accepted by the elective cosmetic patient. This article aims at providing a summary
of the history, the anatomy, and the currently accepted methods in rhytidectomy, emphasizing
principles and practices of safety.
KEYWORDS
Rhytidectomy - safety - face-lift
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Krista Rodriguez-BrunoM.D.
Department of Facial Plastic and Reconstructive Surgery, Johns Hopkins Hospital
601 N. Caroline Street, 6th floor, Baltimore, MD 21287
Email: krodrig8@jhmi.edu
