title: Midface effects of the deep-plane vs the superficial musculoaponeurotic system plication face-lift.
abstract: OBJECTIVE
  To determine if there is any observable difference in the midface of patients who have undergone a deep-plane face-lift vs a standard superficial musculoaponeurotic system (SMAS) plication face-lift.
  
  
  METHODS
  Preoperative and postoperative photographs of 25 patients undergoing each type of face-lift were rated by 3 independent and blinded observers. A 7-point scale was used to grade improvement in 5 areas on the face and neck: malar eminence, melolabial fold, jowls, cervicomental angle, and anterior neck banding.
  
  
  RESULTS
  All 3 independent observers rated the patients who underwent a deep-plane face-lift as having a significantly better result (P<.01) in 2 of the measured locations; the observed improvements in the deep-plane group were twice those in the SMAS plication group.
  
  
  CONCLUSIONS
  In our study of 50 patients, the deep-plane face-lift proved to have results that were clinically and statistically better than those of the SMASapplication face-lift in both the midface and the neck.
authors.affiliation: Department of Otolaryngology -- Head and Neck Surgery, University of Toronto, Toronto, Ontario.
authors.forename: Peter A
authors.initials: PA
authors.lastname: Adamson
authors.forename: Ravi
authors.initials: R
authors.lastname: Dahiya
authors.forename: Jason
authors.initials: J
authors.lastname: Litner
mesh_terms: D004954:Esthetics; D005152:Facial Muscles / Q000601:surgery*; D006801:Humans; D017060:Patient Satisfaction; D015361:Rhytidoplasty / Q000379:methods*; D016896:Treatment Outcome