Private Medical Clinic "Ottimo", Moscow, Russia, 101000.
Clinic of Plastic Surgery and Aesthetic Medicine "Nove Tilo", Kiev, 04071, Ukraine.
Aesthetic Plast Surg. 2019 Oct;43(5):1204-1211. doi: 10.1007/s00266-019-01319-3. Epub 2019 Feb 14.
Since the beginning of the last century, when the aesthetic rejuvenating surgery was first described, there have been great changes in tactics and methods for solving the problems of age-related facial changes. Since the first description of the superficial muscular aponeurotic system (SMAS), there have been two main approaches to influencing this structure. These are various types of SMAS plications and different in-depth and technique sub-SMAS liftings. Each of these approaches has its advantages and disadvantages.
We have developed and applied a face-lift technique that combines the advantages of both approaches. We call it the triple-S lift, which is based on three basic principles: 1. A short scar technique; 2. The safety SMAS (limited sub-SMAS dissection to anterior border of the masseter muscle); 3. The support system (a complex of ligatures in the sub-SMAS layer, which allows lifting and plication of the medial part of the SMAS simultaneously) According to this method, there were 93 operations performed on 8 men and 85 women aged 38 to 72 years.
The first clinical applications produced good results. The patients noted a high degree of satisfaction, and the level of complications was quite low. Since the technique has been performed for a short period of time, we demonstrate results of the 2-year period.
The described technique requires further study, but the first results suggest that this type of a surgical intervention is safe, easy to execute, and may be an option to choose for surgical correction of facial aging changes.
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自上个世纪初首次描述美容年轻化手术以来，解决与年龄相关的面部变化问题的策略和方法发生了很大变化。自首次描述浅表肌肉腱膜系统（SMAS）以来，有两种主要方法可以影响这种结构。这些是各种类型的 SMAS 折叠术和不同深度和技术的亚 SMAS 提升术。每种方法都有其优点和缺点。
我们开发并应用了一种结合了这两种方法优点的面部提升技术。我们称之为三重提升术，它基于三个基本原则：1. 短疤痕技术；2. 安全 SMAS（将亚 SMAS 解剖限制在前嚼肌前缘）；3. 支撑系统（亚 SMAS 层中的复杂结扎物，允许同时提升和折叠 SMAS 的内侧部分）。根据这种方法，对 8 名男性和 85 名年龄在 38 至 72 岁的女性进行了 93 次手术。
首次临床应用取得了良好的效果。患者满意度高，并发症水平相当低。由于该技术的应用时间较短，我们展示了 2 年的结果。
所描述的技术需要进一步研究，但初步结果表明，这种类型的手术干预是安全的，易于执行，并且可能是手术矫正面部老化变化的选择之一。
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