Kontoes Paraskevas, Haritos Christoforos S
ISAPS President-elect, Athens, Greece.
DrK Medical Group, Athens, Greece.
Aesthetic Plast Surg. 2025 Jan 22. doi: 10.1007/s00266-025-04661-x.
In most of the published plication techniques in face lift surgery, the vectors of plication are not entirely superiorly and vertically directed. The same applies with the deep plane, SMAS elevation techniques in the majority of which the vectors of traction are not superiorly vertically directed. The aging symptoms are mostly prominent at the anterior mobile face due to the gravity effect, and this is the area where attention should be focused to correct these symptoms following a face lift surgery.
We have evaluated the results of 58 patients who underwent the V plication face lift between January 2021 to January 2024 in terms of demographics, procedure, surgical technique, adjuvant treatments, final outcomes and complications.
All 58 patients underwent primary face lift with the V plication for vertical superior traction and suspension of the facial tissues. The average age value was 64 years. Forty-six patients underwent concomitant upper and lower blepharoplasty, and 25 fat transfer of the upper periorbital region. There were one self-resolving neurapraxia of the right buccal branch of facial nerve and three minor self-absorbed localized blood collections.
The extensive V plication face lift of the anterior face together with the progressively less extensive plication of the lateral face due to the shape of plication addressed satisfactorily the prominent symptoms of gravity effect on the face with the action of the vertical superior suspension of the facial tissues and corrected the malar deflation by repositioning the downwards sliding malar fat pad.
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在大多数已发表的面部提升手术折叠技术中，折叠的方向并非完全垂直向上。深层平面、SMAS提升技术也是如此，其中大多数牵引方向并非垂直向上。由于重力作用，衰老症状在前移动面部最为明显，这是面部提升手术后应重点关注以纠正这些症状的区域。
我们评估了2021年1月至2024年1月期间接受V形折叠面部提升手术的58例患者的人口统计学、手术过程、手术技术、辅助治疗、最终结果和并发症。
所有58例患者均接受了初次面部提升手术，采用V形折叠技术进行面部组织的垂直向上牵引和悬吊。平均年龄为64岁。46例患者同时接受了上下睑成形术，25例患者进行了眶上区脂肪移植。有1例右侧面神经颊支自限性神经失用症和3例轻微的自吸收局部血肿。
由于折叠形状，前面部广泛的V形折叠面部提升术以及侧面逐渐减少的折叠术，通过面部组织的垂直向上悬吊作用，令人满意地解决了重力对面部的显著影响症状，并通过重新定位向下滑动的颧脂肪垫纠正了颧部凹陷。
证据水平V：本刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
