Platysma-SMAS rhytidectomy--a personal modification.

An approach to SMAS-platysma system rhytidectomy is described which has the benefits of deep-layer meloplasty without the undue risk inherent in approaches that widely undermine this system. The technique has been used on 100 consecutive patients with few complications. These include 1 hematoma that required surgical evacuation, 8 minor hematomas, and 4 skin sloughs. There was no facial nerve paralysis or alopecia.