Facial Plastic Surgery, Otolaryngology, Rousso Facial Plastic Surgery Clinic, UAB, 2700 Highway 280, Suite 300 West, Birmingham, AL 35223, USA.
Surgery, Facial Plastic Surgery, Rousso Facial Plastic Surgery Clinic, 2700 Highway 280, Suite 300 West, Birmingham, AL 35223, USA.
Facial Plast Surg Clin North Am. 2020 Aug;28(3):285-301. doi: 10.1016/j.fsc.2020.03.010.
Rhytidectomy techniques have evolved since the early 1900s. As the understanding of facial anatomy and the aging process expanded, the superficial musculoaponeurotic system (SMAS) became a focal point in developing longer-lasting, natural results. Further evolution led to various approaches in repositioning the SMAS layer, including subperiosteal, composite, and deep plane rhytidectomies. This article describes the nuances of SMAS rhytidectomy, the biplanar SMAS imbrication technique, and adjuvant procedures used. This biplanar SMAS technique has been refined over more than 25 years and has proved to be a reliable and safe technique that leads to high patient satisfaction with minimal complications.
除皱术技术自 20 世纪初以来不断发展。随着对面部解剖结构和衰老过程的理解不断深入，表浅肌肉腱膜系统（SMAS）成为实现更持久、更自然效果的焦点。进一步的发展导致了各种重新定位 SMAS 层的方法，包括骨膜下、复合和深部平面除皱术。本文描述了 SMAS 除皱术的细微差别、双平面 SMAS 交错技术以及辅助手术。这种双平面 SMAS 技术已经改进了 25 年以上，被证明是一种可靠且安全的技术，能使患者满意度高，并发症少。
