The deep side of facelifts.
Adequate undermining of the SMAS layer, excision of redundant SMAS, and repositioning with permanent sutures to fascia in a more superior area has afforded better results without untoward risks. Plication of the lateral edge of the platysma to the mastoid fascia with the same 3/0 permanent suture is usually sufficient, although strong mid-neck banding must be treated with a submental incision, excision of the medial platysma borders which are then sutured together with the same permanent sutures. My series represents more than fifteen hundred cases performed in this manner. I recently did a secondary facelift sixteen years later and found these sutures still holding very well. In these days of many facelift techniques, it would be interesting to compare your comments and suggestions.
Berman
W E
WE
D005260:Female; D006801:Humans; D011379:Prognosis; D015361:Rhytidoplasty / Q000379:methods*