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Facial Plast Surg 2020; 36(04): 416-429
DOI: 10.1055/s-0040-1713848
Original Article

The Facelift in South American Patients

Lucas Gomes Patrocinio 
1   Department of Otolaryngology and Facial Plastic Surgery, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil
,
Marcell Melo Naves
1   Department of Otolaryngology and Facial Plastic Surgery, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil
,
Jose Antonio Patrocinio
1   Department of Otolaryngology and Facial Plastic Surgery, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil
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Abstract

South America is a vast territory; its people were made from all parts of the world. The miscegenation made a unique population comprised of Indian, Asian, Caucasian, African, Mestizo, Mulatto, and Zambo. The South American patients tend to have a wider face with a skin-soft tissue envelope (S-STE) that is thicker, heavier, and has less elasticity than the Caucasian patient. Upper eyelids may hood easily. In the same way, malar eminences and round face look are more prominent. The chin can be a little retracted. With aging, the S-STE tends to sag more, making nasolabial folds and jowl area more prominent, and redundant neck skin will appear loose and heavy. Facelift is popular in South American patients. They have peculiar characteristics like heavy dark sebaceous skin which lead to peculiarities in face lifting. It is usually a procedure designed to rejuvenate all thirds of the face. In the forehead, skin excision in temporal incisions is usually necessary. Midface subperiosteal lift is a possibility for heavy skin patients who need great improvement in the center of the face. The neck lift is almost indispensable to the rejuvenation of the lower third. Extended superficial muscular aponeurotic system or deep plane dissection is commonly performed so the soft tissues of the midface, the jowls, and the neck can be lifted to reestablish their youthful relationship with the underlying skeleton.

Keywords

facelift - South America - ethnic - skin-soft tissue envelope


Publication History

Article published online:
31 August 2020

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  • References

  • 1 Domínguez JL. Race and Ethnicity in Latin America. Essays on Mexico, Central and South America: Scholarly Debates from the 1950s to the 1990s. Vol. 7. New York, NY: Garland; 1994
    Google Scholar
  • 2 Fernández FL. Composición Étnica de las Tres Áreas Culturales del Continente Americano al Comienzo del Siglo XXI. Convergencia. Rev Cienc Soc 2005; 12 (38) 185-232
    PubMedGoogle Scholar
  • 3 Cobo R, García CA. Aesthetic surgery for the Mestizo/Hispanic patient: special considerations. Facial Plast Surg 2010; 26 (02) 164-173
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Cobo R. Trends in facial plastic surgery in Latin America. Facial Plast Surg 2013; 29 (03) 149-153
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Patrocínio LG, Reinhart RJ, Patrocínio TG, Patrocínio JA. Endoscopic frontoplasty: 3-year experience. Rev Bras Otorrinolaringol (Engl Ed) 2006; 72 (05) 624-630
    CrossrefPubMedGoogle Scholar
  • 6 Patrocinio LG, Patrocinio JA. Forehead-lift: a 10-year review. Arch Facial Plast Surg 2008; 10 (06) 391-394
    CrossrefPubMedGoogle Scholar
  • 7 Patrocínio LG, Patrocínio JA, Couto HG, Muniz de Souza H, Carvalho PM. Subperiosteal facelift: a 5-year experience. Rev Bras Otorrinolaringol (Engl Ed) 2006; 72 (05) 592-597
    CrossrefPubMedGoogle Scholar
  • 8 Patrocinio LG, Patrocinio TG, Patrocinio JA. Subperiosteal midface-lift. Facial Plast Surg 2013; 29 (03) 206-213
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Patrocinio JA, Patrocinio LG, Aguiar ASF. Complicações de ritidoplastias em um serviço de residência médica em otorrinolaringologia. Rev Bras Otorrinolaringol 2002; 68 (03) 38-42
    CrossrefPubMedGoogle Scholar
  • 10 Patrocinio LG, Patrocinio JA. Cervicoplastia anterior. Rev Bras Otorrinolaringol 2004; 70 (05) 597-601
    CrossrefPubMedGoogle Scholar
  • 11 Bettman AG. Plastic and cosmetic surgery of the face. Northwest Med J 1920; 19: 205
    PubMedGoogle Scholar
  • 12 Bourguet J. La chirurgie estetique de la face. Concours Med 1921; 1657-1670
    PubMedGoogle Scholar
  • 13 Pitanguy I, Machado BH. Facial rejuvenation surgery: a retrospective study of 8788 cases. Aesthet Surg J 2012; 32 (04) 393-412
    CrossrefPubMedGoogle Scholar
  • 14 Mitz V, Peyronie M. The superficial musculo-aponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg 1976; 58 (01) 80-88
    CrossrefPubMedGoogle Scholar
  • 15 Citarella ER, Sterodimas A, Condé-Green A. Endoscopically assisted limited-incision rhytidectomy: a 10-year prospective study. J Plast Reconstr Aesthet Surg 2010; 63 (11) 1842-1848
    CrossrefPubMedGoogle Scholar
  • 16 Park DM. Total facelift: forehead lift, midface lift, and neck lift. Arch Plast Surg 2015; 42 (02) 111-125
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Cakmak O, Emre IE, Özücer B. Surgical approach to the thick nasolabial folds, jowls and heavy neck-how to approach and suspend the facial ligaments. Facial Plast Surg 2018; 34 (01) 59-65
    Article in Thieme ConnectPubMedGoogle Scholar
  • 18 Fedok FG, Chaikhoutdinov I, Garritano F. The difficult neck in facelifting. Facial Plast Surg 2014; 30 (04) 438-450
    Article in Thieme ConnectPubMedGoogle Scholar
  • 19 Espinosa J, Valencia DP. Management of the neck in thick-skinned patients. Facial Plast Surg 2013; 29 (03) 214-224
    Article in Thieme ConnectPubMedGoogle Scholar
  • 20 Moreira AC, Moreira M, Motta RL. , et al. The combination of rhytidoplasty and fractional CO2 laser therapy in the treatment of facial aging. Aesthetic Plast Surg 2014; 38 (05) 839-848
    CrossrefPubMedGoogle Scholar