Matsunaga R S
Otolaryngol Head Neck Surg. 1981 May-Jun;89(3 Pt 1):496-503. doi: 10.1177/019459988108900326.
The goal of a face-life procedure should be to obtain the maximal improvement with minimal morbidity. The author's technique is presented as an alternative technique to accomplish this goal. It is based on 427 face-lift patients from 1973 to 1979. The technique employs defatting of the superficial musculoaponeurotic system and platysma muscle (which is not dissected free) and use of multiple plication sutures to create a second-layer closure. This is in contrast to the standard face-lift procedure, which employs a single-layer closure whereby all the retraction tension is sustained by the skin flaps. With the author's technique, the complication rates are markedly reduced and satisfactory cosmetic results are obtained with "hidden" face-lift incisions.
面部提升手术的目标应该是以最小的发病率获得最大程度的改善。本文介绍了作者的技术，作为实现这一目标的一种替代技术。该技术基于1973年至1979年间的427例面部提升患者。该技术采用对表浅肌肉腱膜系统和颈阔肌（不游离解剖）进行去脂，并使用多条折叠缝线进行第二层缝合。这与标准的面部提升手术不同，标准手术采用单层缝合，所有的回缩张力都由皮瓣承受。采用作者的技术，并发症发生率显著降低，通过“隐蔽”的面部提升切口可获得满意的美容效果。
