Hamra S T
Ann Plast Surg. 1984 Mar;12(3):268-74. doi: 10.1097/00000637-198403000-00009.
This article reviews the author's series of 750 rhytidectomies done over an eight-year period, beginning with the earlier pure Skoog technique with no subcutaneous undermining and evolving into the present technique with widespread undermining except in the lower face. The current technique, which is a tri-plane dissection, is discussed in detail. The upper face dissection is in the subcutaneous plane. The lower face dissection is in the sub-SMAS plane and the neck dissection is in the preplatysmal plane. Ways to avoid post-operative neck deformities are discussed. The conclusion is that whether one undermines the skin of the lower face or not probably makes no difference in the aesthetic results, but this technique would appear to minimize complications, particularly hematoma formation.
本文回顾了作者在八年时间里进行的750例除皱手术。最初采用的是早期纯粹的斯科格技术，不进行皮下剥离，后来演变成目前的技术，除下面部外广泛进行剥离。详细讨论了当前的三平面剥离技术。上面部剥离在皮下平面进行。下面部剥离在SMAS下平面进行，颈部剥离在颈前平面进行。还讨论了避免术后颈部畸形的方法。结论是，对面部下方皮肤是否进行剥离可能对美学效果影响不大，但这种技术似乎能将并发症，尤其是血肿形成的风险降至最低。
