Nuances in Superficial Musculoaponeurotic System Rhytidectomy

Daniel E Rousso; Austin S Adams

doi:10.1016/j.fsc.2020.03.010

Nuances in Superficial Musculoaponeurotic System Rhytidectomy

Facial Plast Surg Clin North Am. 2020 Aug;28(3):285-301. doi: 10.1016/j.fsc.2020.03.010.

Authors

Daniel E Rousso¹, Austin S Adams²

Affiliations

¹ Facial Plastic Surgery, Otolaryngology, Rousso Facial Plastic Surgery Clinic, UAB, 2700 Highway 280, Suite 300 West, Birmingham, AL 35223, USA. Electronic address: drrousso@drrousso.com.
² Surgery, Facial Plastic Surgery, Rousso Facial Plastic Surgery Clinic, 2700 Highway 280, Suite 300 West, Birmingham, AL 35223, USA.

PMID: 32503715
DOI: 10.1016/j.fsc.2020.03.010

Abstract

Rhytidectomy techniques have evolved since the early 1900s. As the understanding of facial anatomy and the aging process expanded, the superficial musculoaponeurotic system (SMAS) became a focal point in developing longer-lasting, natural results. Further evolution led to various approaches in repositioning the SMAS layer, including subperiosteal, composite, and deep plane rhytidectomies. This article describes the nuances of SMAS rhytidectomy, the biplanar SMAS imbrication technique, and adjuvant procedures used. This biplanar SMAS technique has been refined over more than 25 years and has proved to be a reliable and safe technique that leads to high patient satisfaction with minimal complications.

Keywords: Biplanar facelift; Facelift; Rhytidectomy; SMAS; SMAS augmentation; Superficial musculoaponeurotic system.

Publication types

Review

MeSH terms

Anesthesia
Humans
Patient Selection
Postoperative Care
Postoperative Complications
Rejuvenation
Rhytidoplasty / adverse effects
Rhytidoplasty / methods*
Superficial Musculoaponeurotic System / anatomy & histology
Superficial Musculoaponeurotic System / surgery*
Superficial Musculoaponeurotic System / transplantation
Surgical Flaps