Background: The evolution of the author's technique for minimal incision rhytidectomy is reviewed.
Objective: The purpose of this article is to outline the indications, advantages, and disadvantages of this technique.
Methods: A total of 749 cases covering more than 10 years of clinical experience are reviewed. A classification of patient types is proposed that includes indications and surgical programs appropriate for each patient category.
Results: In properly selected patients, the technique is safe, reliable, and reproducible. Complication rates are similar to those of other standard techniques.
Conclusions: Minimal incision rhytidectomy with lateral SMASectomy is a useful technique that the plastic surgeon can add to his or her armamentarium.