Furnas D W
Division of Plastic Surgery, University of California, Irvine.
Plast Reconstr Surg. 1989 Jan;83(1):11-6. doi: 10.1097/00006534-198901000-00003.
The zygomatic ligaments (McGregor's patch) anchor the skin of the cheek to the inferior border of the zygoma just posterior to the origin of the zygomaticus minor muscle. The mandibular ligaments tether the overlying skin to the anterior mandible. Both these ligaments are obstacles to surgical maneuvers intended to advance the overlying skin. They also restrain the facial skin against gravitational changes, and they delineate the anterior border of the "jowl" area. The platysma-auricular ligament is a thin fascial sheet that extends from the posterosuperior border of the platysma and that is intimately attached to the periauricular skin; it serves as a surgical guide to the posterosuperior border of the platysma. The anterior platysma-cutaneous ligaments are variable fascial condensations that anchor the SMAS and platysma to the dermis. They can cause anatomic disorientation with dissection of false planes into the dermis. These four ligaments are useful as anatomic landmarks during facial dissections. The tethering effects of the zygomatic and mandibular ligaments must be interrupted if a maximum upward movement of the facial skin is desired.
颧韧带（麦格雷戈斑）将脸颊皮肤固定于颧骨下边缘，恰好在颧小肌起点后方。下颌韧带将覆盖其上的皮肤系于下颌前部。这两条韧带都是旨在推进覆盖其上皮肤的手术操作的障碍。它们还能限制面部皮肤抵御重力变化，并界定“颊脂垫”区域的前缘。颈阔肌 - 耳韧带是一层薄筋膜，从颈阔肌后上缘延伸，并紧密附着于耳周皮肤；它是颈阔肌后上缘的手术导向标志。颈阔肌前皮肤韧带是将表情肌浅层（SMAS）和颈阔肌固定于真皮的可变筋膜增厚。它们可导致解剖层面迷失，出现向真皮内的假平面分离。这四条韧带在面部解剖过程中是有用的解剖标志。如果想要面部皮肤实现最大程度的向上移动，就必须切断颧韧带和下颌韧带的固定作用。
