The deep-plane rhytidectomy

Plast Reconstr Surg. 1990 Jul;86(1):53-61; discussion 62-3.


Lack of significant improvement in redundant nasolabial folds has always been a problem in face lift procedures. The purpose of this paper is to describe the deep-plane rhytidectomy, which addresses the problem of laxity of the nasolabial folds. A Skoog-type sub-SMAS dissection is extended superiorly over the zygomaticus muscles and medially beyond the nasolabial folds, totally releasing all SMAS attachments and creating a thick musculocutaneous flap comprised of skin, all subcutaneous fat of the cheeks, and the platysma muscle. Four-hundred and three patients have been operated on with minimal complications. Dramatic postoperative improvements in the nasolabial folds are demonstrated, and the step-by-step techniques for the face and neck dissection are described.

MeSH terms

  • Female
  • Humans
  • Male
  • Middle Aged
  • Neck / surgery
  • Rhytidoplasty / methods*
  • Surgical Flaps / methods