Straith R E, Botta S A
Aesthetic Plast Surg. 1988 Feb;12(1):9-21. doi: 10.1007/BF01570379.
Rhytidectomy in the male is always more complicated than in the female. We present important modifications of the usual female-type face lift procedure that solve problems peculiar to the male patient. We describe a combined procedure of male rhytidectomy in continuity with the lower blepharoplasty incision. This technique increases the aesthetic results significantly. It provides an increased mechanical advantage in rotation and elevation of the cheek flap which is necessary to correct adequately the frequent redundancy and marked sagging in the lower face and neck often witnessed in the aging male patient. The preauricular non-hair-bearing portion of skin is left undisturbed with no change in the appearance of the sideburn. There is no elevation of the temporal hairline. The operative technique is fully described with emphasis on the complications we observed and how to avoid them. The results presented justify the slightly visible scarring that may occur in the temporal area which heals extremely well and is very acceptable aesthetically.
男性除皱术总是比女性更为复杂。我们提出了对常规女性面部提升手术的重要改进，以解决男性患者特有的问题。我们描述了一种与下睑成形术切口连续的男性除皱联合手术。该技术显著提高了美学效果。它在提升颊部皮瓣方面提供了更大的机械优势，这对于充分矫正老年男性患者常见的下脸和颈部频繁冗余及明显松弛是必要的。耳前无毛皮肤部分不受干扰，鬓角外观无变化。颞部发际线没有抬高。文中详细描述了手术技术，重点阐述了我们观察到的并发症以及如何避免这些并发症。所呈现的结果证明了颞部可能出现的轻微可见瘢痕是合理的，该瘢痕愈合良好，在美学上是非常可接受的。
