[Triple muscular necklift and facelift; lifting of the orbicularis muscle, the platysma and zygomatic complex].

The last three decades have irreversibly changed the history of face-lifting. Based on the muscular approach of the Skoog, SMAS and "Composites" techniques and numerous recent anatomical studies, we decided to investigate the anatomical structures responsible for the first signs of ageing of the face. In addition to Hamra's techniques for orbicularis lifting and Connell's and Baker's techniques for platysma lifting, we have added our experience zygomaticus minor lifting in what we have called "the zygomatic complex". This technical combination of a triple muscle facelift is based on a very precise anatomical knowledge of the structures of the cheek which are described in the context of surgery for ageing of the face. We have performed this technique for almost 2 years, in 29 patients, with encouraging results. This study emphasizes the "preventive" nature of this operation, corresponding to the current request of young women, who request simple, rapid, outpatient procedures to maintain their thirty-year-old appearance. Consequently, the blind part of the procedure is performed endoscopically. It will probably provide even more comfort to our patients, in whom the satisfaction rate is remarkable, with negligible morbidity.