title: SMAS-platysma facelift. A bidirectional cervicofacial rhytidectomy.
abstract: The technique of SMAS-platysma facelift has been reviewed. The deep layer lift with the SMAS-platysma myocutaneous flap of the anterior neck and lower face facilitates correction of submental deformities without the necessity of direct approach with a submental incision. Wide superficial undermining of the upper and mid-cheek skin which is pulled laterally for correction of the nasolabial fold achieves a bidirectional facelift. The author's experience over six years with 460 patients who had a SMAS-platysma facelift indicates that the operation can be performed safely with a low incidence of complications.
mesh_terms: D005145:Face / Q000601:surgery*; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009132:Muscles / Q000601:surgery*; D009334:Neck Muscles / Q000601:surgery*; D011183:Postoperative Complications; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps