title: Extended superficial muscular aponeurotic system rhytidectomy: a graded approach.
abstract: Surgical approaches for rhytidectomy continue to evolve. For the past 26 years, the senior author has used a graded approach in combination with the modified deep-plane facelift, consistently achieving natural-appearing results and satisfied patients. This article outlines the analysis of the patient, preoperative preparation of the patient, an algorithm for adjunctive procedures to achieve a youthful yet balanced face, the associated surgical technique, and also possible complications.
authors.affiliation: Meridian Plastic Surgeons, 170 W. 106th Street, Indianapolis, IN 46290, USA. sperkins@meridianplastic.com
authors.forename: Stephen W
authors.initials: SW
authors.lastname: Perkins
authors.forename: Amit B
authors.initials: AB
authors.lastname: Patel
mesh_terms: D000075202:Contraindications; D006801:Humans; D012060:Rejuvenation; D015361:Rhytidoplasty / Q000009:adverse effects / Q000379:methods*