Ozerdem Omer Refik, Anlatici Recep, Demiralay Nihan
Plastic Surgery, Yesilbahce Mh. M.Kasapoglu Cd 1446 Sk B-blok Suite 14, Muratpasa, Antalya, Turkey.
G.Antep University School of Medicine Head of Plastic and Reconstructive Surgery, G.Antep, Turkey.
Aesthetic Plast Surg. 2025 Aug 19. doi: 10.1007/s00266-025-05148-5.
In our ongoing efforts to improve our techniques for facial lifting, we have consistently made strides towards achieving better, more reliable, and longer-lasting results. To accomplish this, we have incorporated additional procedures into our current methods.
Our current methods include lateral superficial musculoaponeurotic system (SMAS) excision, SMAS plication, and malar fat pad lifting. The new procedures that have been added include parotideamasseteric fascia plication or anchoring, as well as SMAS flap elevation and lifting. To evaluate the effectiveness of these new applications, we conducted a study involving 2 groups of patients. The first group consisted of 200 patients who underwent the older applications, while the second group comprised 167 individuals who received the newer applications. We compared both groups and analyzed their results in relation to previous research.
No significant differences were observed between the two groups in terms of skin necrosis, seroma formation, hematoma occurrence, temporary frontal nerve injury issues, scarring problems, or patient revision requests. However, it is worth noting that the second group experienced a remarkable decrease in revision requests (8.98%) compared to a rate of 13% in the first group.
In our opinion, the combination of these maneuvers is particularly crucial when dealing with cases where facial soft tissues are loose or delicate, as this increases the likelihood of early recurrence. Our recent practices suggest that we may be on track towards discovering longer lasting and more reliable methods for facial rejuvenation. We believe that conducting larger series will provide us with more precise information in future studies.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
在我们不断改进面部提升技术的过程中，我们始终朝着取得更好、更可靠和更持久的效果迈进。为实现这一目标，我们在现有方法中纳入了额外的手术步骤。
我们目前的方法包括外侧表浅肌肉腱膜系统（SMAS）切除术、SMAS 折叠术和颧脂肪垫提升术。新增的手术步骤包括腮腺咬肌筋膜折叠或锚定，以及 SMAS 瓣掀起和提升。为评估这些新应用的效果，我们进行了一项涉及两组患者的研究。第一组由 200 例接受旧有应用的患者组成，而第二组包括 167 例接受新应用的个体。我们对两组进行了比较，并根据先前的研究分析了结果。
两组在皮肤坏死、血清肿形成、血肿发生、暂时性额神经损伤问题、瘢痕形成问题或患者修复请求方面均未观察到显著差异。然而，值得注意的是，与第一组 13%的修复请求率相比，第二组的修复请求率显著下降（8.98%）。
我们认为，在处理面部软组织松弛或脆弱的病例时，这些操作的组合尤为关键，因为这会增加早期复发的可能性。我们最近的实践表明，我们可能正在朝着发现更持久、更可靠的面部年轻化方法迈进。我们相信，进行更大规模的系列研究将在未来的研究中为我们提供更精确的信息。
证据水平 IV：本杂志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，请参阅目录或在线作者指南 www.springer.com/00266。
