Different levels of undermining in face lift - experience of 141 consecutive cases

CONTEXT: The most revolutionary concept in rhytidectomy is the role of Sub Muscular Aponeurotic System (SMAS), even if many alternative approaches have been proposed. The main aim of face lift is to bring back the time, preventing the "lifted-face" appearance. SETTINGS AND DESIGN: The auth...

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Main Authors: Pietro Panettiere, Lucio Marchetti, Danilo Accorsi, Giovanni-Alberto Del Gaudio
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2004-07-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697222
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author Pietro Panettiere
Lucio Marchetti
Danilo Accorsi
Giovanni-Alberto Del Gaudio
author_facet Pietro Panettiere
Lucio Marchetti
Danilo Accorsi
Giovanni-Alberto Del Gaudio
author_sort Pietro Panettiere
collection DOAJ
description CONTEXT: The most revolutionary concept in rhytidectomy is the role of Sub Muscular Aponeurotic System (SMAS), even if many alternative approaches have been proposed. The main aim of face lift is to bring back the time, preventing the "lifted-face" appearance. SETTINGS AND DESIGN: The authors present their personal experience with different levels of undermining, i.e. subperiosteal forehead lift, subcutaneous midface lift with SMAS plication and platysmal suspension, and discuss the anatomical and biomechanical elements of rhytidectomy. RESULTS: Optimal aesthetic results were achieved by repositioning the neck, face and forehead tissues in a global and harmonious fashion, without distorting face characteristics and disguising surgery trails as much as possible. CONCLUSIONS: Different levels of undermining can give good and stable aesthetic results minimizing the risks and preventing face distortion.
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id doaj-art-e6bc4025be814279acde390bf71c7fb7
institution OA Journals
issn 0970-0358
1998-376X
language English
publishDate 2004-07-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-e6bc4025be814279acde390bf71c7fb72025-08-20T02:21:04ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2004-07-01370211512010.1055/s-0039-1697222Different levels of undermining in face lift - experience of 141 consecutive casesPietro Panettiere0Lucio Marchetti1Danilo Accorsi2Giovanni-Alberto Del Gaudio3Università degli Studi di Bologna, Dipartimento di Discipline Chirurgiche, Rianimatorie e dei Trapianti, Clinica Chirurgica IV, ItalyUniversità degli Studi di Bologna, Dipartimento di Discipline Chirurgiche, Rianimatorie e dei Trapianti, Clinica Chirurgica IV, ItalyUniversità degli Studi di Bologna, Dipartimento di Discipline Chirurgiche, Rianimatorie e dei Trapianti, Clinica Chirurgica IV, ItalyUniversità degli Studi di Bologna, Dipartimento di Discipline Chirurgiche, Rianimatorie e dei Trapianti, Clinica Chirurgica IV, ItalyCONTEXT: The most revolutionary concept in rhytidectomy is the role of Sub Muscular Aponeurotic System (SMAS), even if many alternative approaches have been proposed. The main aim of face lift is to bring back the time, preventing the "lifted-face" appearance. SETTINGS AND DESIGN: The authors present their personal experience with different levels of undermining, i.e. subperiosteal forehead lift, subcutaneous midface lift with SMAS plication and platysmal suspension, and discuss the anatomical and biomechanical elements of rhytidectomy. RESULTS: Optimal aesthetic results were achieved by repositioning the neck, face and forehead tissues in a global and harmonious fashion, without distorting face characteristics and disguising surgery trails as much as possible. CONCLUSIONS: Different levels of undermining can give good and stable aesthetic results minimizing the risks and preventing face distortion.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697222liftingsmasplatysmafaceneckforeheadrhytidectomy
spellingShingle Pietro Panettiere
Lucio Marchetti
Danilo Accorsi
Giovanni-Alberto Del Gaudio
Different levels of undermining in face lift - experience of 141 consecutive cases
Indian Journal of Plastic Surgery
lifting
smas
platysma
face
neck
forehead
rhytidectomy
title Different levels of undermining in face lift - experience of 141 consecutive cases
title_full Different levels of undermining in face lift - experience of 141 consecutive cases
title_fullStr Different levels of undermining in face lift - experience of 141 consecutive cases
title_full_unstemmed Different levels of undermining in face lift - experience of 141 consecutive cases
title_short Different levels of undermining in face lift - experience of 141 consecutive cases
title_sort different levels of undermining in face lift experience of 141 consecutive cases
topic lifting
smas
platysma
face
neck
forehead
rhytidectomy
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1697222
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AT luciomarchetti differentlevelsofundermininginfaceliftexperienceof141consecutivecases
AT daniloaccorsi differentlevelsofundermininginfaceliftexperienceof141consecutivecases
AT giovannialbertodelgaudio differentlevelsofundermininginfaceliftexperienceof141consecutivecases