Sadati Kevin, Mathieu Olivier, Cetrulo Curtis L, Lellouch Alexandre G
From the Private Practice, Newport Beach, CA.
Department of Plastic, Reconstructive and Aesthetic Surgery, Cedars Sinai Hospital, Los Angeles, CA.
Plast Reconstr Surg Glob Open. 2025 Mar 18;13(3):e6619. doi: 10.1097/GOX.0000000000006619. eCollection 2025 Mar.
Face lift surgery has witnessed a significant surge in popularity, particularly in the context of social media influence and heightened aesthetic awareness.
The preservation face lift technique combines elements of the extended deep plane and high superficial musculoaponeurotic system face lift while adopting a tissue-sparing approach, minimizing skin delamination and preserving deep anatomical structures as much as possible. High-definition neck contouring for mild midline neck laxity is achieved through an innovative technique using lateral platysma purse-string hammock sutures. Deep neck content and submandibular gland resections are typically reserved for cases with moderate to significant neck fullness, requiring a more comprehensive approach to contouring. To further enhance the jawline by increasing the depth of the gonial angle, the lateral superficial musculoaponeurotic system flap is incised, mobilized, and rotated as a pedicled flap along the body of the ramus, resulting in a more defined contour. Through a retrospective analysis of 134 patients undergoing face and neck lift procedures, we compared outcomes between preservation face lift and extended deep plane face lift.
Results indicated shorter drainage durations and lower complication rates in the preservation face lift group, underscoring its efficacy and safety. Although our study provides valuable insights into the preservation face lift technique, future research should incorporate objective outcome measures such as patient-reported satisfaction surveys to further elucidate its benefits.
Overall, the preservation face lift represents a nuanced approach to face lift surgery, prioritizing both aesthetic refinement and patient safety in pursuit of natural-looking results.
面部提升手术的受欢迎程度显著飙升，尤其是在社交媒体影响和审美意识增强的背景下。
保留性面部提升技术结合了扩展深层平面和高表浅肌肉腱膜系统面部提升的要素，同时采用保留组织的方法，尽量减少皮肤分层并尽可能保留深层解剖结构。对于轻度中线颈部松弛，通过一种使用颈阔肌外侧荷包缝合的创新技术实现高清颈部轮廓塑造。颈部深层内容物和下颌下腺切除术通常适用于中度至重度颈部丰满的病例，需要更全面的轮廓塑造方法。为了通过增加下颌角深度进一步改善下颌轮廓，切开、移动并将表浅肌肉腱膜系统外侧皮瓣作为带蒂皮瓣沿下颌支体旋转，从而形成更清晰的轮廓。通过对134例接受面部和颈部提升手术的患者进行回顾性分析，我们比较了保留性面部提升和扩展深层平面面部提升的效果。
结果表明，保留性面部提升组的引流时间更短，并发症发生率更低，突出了其有效性和安全性。尽管我们的研究为保留性面部提升技术提供了有价值的见解，但未来的研究应纳入客观的结果测量，如患者报告的满意度调查，以进一步阐明其益处。
总体而言，保留性面部提升是一种精细的面部提升手术方法，在追求自然效果的过程中兼顾了美学优化和患者安全。
