[The clinical application of parotid fascia-SMAS-platysma flap in the lifting of lower face and neck].
OBJECTIVE
To investigate the technique of lower face and neck lifting with parotid fascia-SMAS-platysma flap.


METHODS
To improve the lifting strength of SMAS and the cosmetic result, the traditional SMAS-platysma flap was modified as parotid fascia-SMAS-platysma flap. The modified flap was folded and suspended step by step to lift the lower face and neck.


RESULTS
From Oct. 2004 to Oct. 2008, 78 patients were treated with this method. The patients' age ranged from 40 to 65 years old. There were 2 cases of male and 76 cases of female. All the patients were followed up for 6 months to 4 year with satisfactory results.


CONCLUSIONS
Folding and suspension of the parotid fascia-SMAS-platysma flap step by step can effectively lift the saggy tissue of lower face and neck.
Wang
Xiao-Jun
XJ
Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Beijing 100032, China.
Liu
Zhi-Fei
ZF
Zhu
Lin
L
Zhang
Hai-Lin
HL
Cui
Ya-Ning
YN
Qiao
Qun
Q
D000328:Adult; D000368:Aged; D002610:Cheek / Q000601:surgery; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009334:Neck Muscles / Q000637:transplantation*; D010306:Parotid Gland / Q000601:surgery; D015361:Rhytidoplasty / Q000379:methods*