title: The deep-plane rhytidectomy.
abstract: Lack of significant improvement in redundant nasolabial folds has always been a problem in face lift procedures. The purpose of this paper is to describe the deep-plane rhytidectomy, which addresses the problem of laxity of the nasolabial folds. A Skoog-type sub-SMAS dissection is extended superiorly over the zygomaticus muscles and medially beyond the nasolabial folds, totally releasing all SMAS attachments and creating a thick musculocutaneous flap comprised of skin, all subcutaneous fat of the cheeks, and the platysma muscle. Four-hundred and three patients have been operated on with minimal complications. Dramatic postoperative improvements in the nasolabial folds are demonstrated, and the step-by-step techniques for the face and neck dissection are described.
authors.affiliation: Division of Plastic Surgery, University of Texas Health Sciences Center, Dallas.
authors.forename: S T
authors.initials: ST
authors.lastname: Hamra
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000601:surgery; D015361:Rhytidoplasty / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods