J Cosmet Med.  2018 Jun;2(1):32-40. 10.25056/JCM.2018.2.1.32.

Short-scar facelift technique combining malar fat pad suspension and lamellar low superficial musculo-aponeurotic system excision

• Larrazabal AAd
• Collantes-Jose C

• KMID: 2561050
• DOI: http://doi.org/10.25056/JCM.2018.2.1.32

Abstract

Background
Minimally invasive surgery is already at the forefront in all surgical specialties, including cosmetic surgery. Hence, we have adapted and modified our technique to offer a short-scar facelift with minimal tissue dissection and manipulation to surgically rejuvenate the aging face.
Objective
This study aimed to surgically address the aging face and neck by employing this modified short-scar rhytidectomy with minimal dissection, manipulation, and using the correct vector suited for Asian faces as an alternative and innovative surgical procedure.
Methods
We performed this short-scar facelift by combining the malar fad pad suspension and lamellar low superficial musculoaponeurotic system (SMAS) excision Results: From 2015 to 2017, we have performed 51 facelift procedures with our modification, with 8 men and 43 women, with a mean age of 64.30 years (range, 50-78 years). Of the 51 patients, 29 patients (56.86%) had regular follow-ups. Three complications were noted. One developed post-operative hematoma. The other developed seroma formation. The third developed split thickness skin necrosis. Majority of our patients were satisfied with the results.
Conclusion
This combined malar fat pad suspension and lamellar low SMAS excision technique is a simple, safe, and effective alternative procedure for facelift. Level of Evidence: V

Keyword

malar fat pad suspension; short-scar facelift; SMASectomy; superficial musculo-aponeurotic system excision