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    Rhytidectomy, also known as a facelift, is a surgical procedure used to reduce sagging and wrinkling in the face and neck. There are several types of facelift procedures including classic, SMAS-platysma, and composite rhytidectomy. The classic operation involves undermining the skin and subcutaneous tissue, rotating and advancing the skin flap, and excising excess skin. The SMAS-platysma technique lifts the superficial muscular aponeurotic system and platysma muscles. A composite rhytidectomy addresses ptosis of the cheek fat pad and redundant muscles. Post-operative care involves dressing, draining, head elevation, soft diet, and suture removal.

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    Face Lift

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    Rhytidectomy, also known as a facelift, is a surgical procedure used to reduce sagging and wrinkling in the face and neck. There are several types of facelift procedures including classic, SMAS-platysma, and composite rhytidectomy. The classic operation involves undermining the skin and subcutaneous tissue, rotating and advancing the skin flap, and excising excess skin. The SMAS-platysma technique lifts the superficial muscular aponeurotic system and platysma muscles. A composite rhytidectomy addresses ptosis of the cheek fat pad and redundant muscles. Post-operative care involves dressing, draining, head elevation, soft diet, and suture removal.

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    96 views30 pages

    Facelift

    Uploaded by

    pilyoungg1994
    Rhytidectomy, also known as a facelift, is a surgical procedure used to reduce sagging and wrinkling in the face and neck. There are several types of facelift procedures including classic, SMAS-platysma, and composite rhytidectomy. The classic operation involves undermining the skin and subcutaneous tissue, rotating and advancing the skin flap, and excising excess skin. The SMAS-platysma technique lifts the superficial muscular aponeurotic system and platysma muscles. A composite rhytidectomy addresses ptosis of the cheek fat pad and redundant muscles. Post-operative care involves dressing, draining, head elevation, soft diet, and suture removal.

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    Download as ppt, pdf, or txt
    of 30

    Rhytidectomy

    OMFS SNUH

    Introduction: Turning Back The


    Hands of Time
    Rhytidoplasty

    or Rhytidectomy
    reduce sagging and wrinkling in the
    face and neck
    Average Price of Rhytidectomy
    minor lifts : $4,500.- $7,000
    major work, $5,500. - $15,500
    OMFS SNUH

    History
    Hollander

    in 1901 : first report of facelift preocedure


    Bames and Bettman in 1927 : skinsubcutaneous flap
    Skoog in 1974 : SMAS-platysma layer
    Hamra in 1990 : composite
    rhytidectomy
    OMFS SNUH

    Types of operation
    Classic

    operation : skin-flap op.

    SMAS-platysma
    Composite

    technique

    flap of SMAS and skin

    Brow-forehead

    lift
    OMFS SNUH

    Classic operation
    Indication

    : young pt. with minimal


    ptosis of tissue, pt. with previous op.
    history
    Procedure
    Underming the skin and subcutaneous
    tissue
    Rotation and advancement of skin flap
    Excision of excess skin
    OMFS SNUH

    Incision

    OMFS SNUH

    Undermining

    OMFS SNUH

    Traction of flap

    OMFS SNUH

    Excision of excess skin

    OMFS SNUH

    Trmming of flap

    OMFS SNUH

    Suture
    Foreward migration of
    ear lobe

    OMFS SNUH

    SMAS-platysma face-lift
    Owsley

    in 1977
    SMAS : Superficial (or Sub-) muscular
    Aponeurotic System
    Different direction of traction

    OMFS SNUH

    Incision on submental crease

    OMFS SNUH

    liposuction

    Plication of platysma

    OMFS SNUH

    Dissection of temporal region

    OMFS SNUH

    SMAS incision and dissection

    OMFS SNUH

    SMAS-platysma rotation

    OMFS SNUH

    Redraping of the skin flap

    OMFS SNUH

    Composite Rhytidectomy
    Aging

    face : ptotic platysma, ptotic


    cheek fat pad, redundant orbicular
    oculi m.
    Dissection plane : suborbicular,
    prezygomatic, subplatysma m.

    OMFS SNUH

    Dissection plane

    OMFS SNUH

    OMFS SNUH

    Brow-forehead lift
    Indication

    : brow ptosis, ptosis of


    lateral upper eyelid
    Transverse forehead line, glabellar
    crease, transverse fold at nose, upper
    nasal and medial eyelid fullness

    OMFS SNUH

    Anatomy
    Musculi

    frontalis : eyebrow elevation,


    cause of transverse forehead line
    Musculi corrugator : brow pulling,
    vertical glabellar crease
    Musculi procerus : transverse wrinkle
    at the root of the nose

    OMFS SNUH

    Incision

    Standard coronal incision

    Ant. hairline incision


    OMFS SNUH

    Disseciton

    OMFS SNUH

    Glabellar crease

    OMFS SNUH

    Redraping of flap

    OMFS SNUH

    Postoperative Care
    Dressing

    and drain
    Upper body elevated at 30 degrees
    Soft diet
    Suture removal

    OMFS SNUH

    Complication
    Hematoma
    Pigmentation
    Skin

    slough
    Infection
    Hair loss
    Nerve injury
    Pain
    OMFS SNUH

    Beauty is only
    skin-deep.
    OMFS SNUH

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