Abramo A C
Aesthetic Plast Surg. 1996 Winter;20(1):59-64. doi: 10.1007/BF02275578.
Full facelift through an endoscopic approach has been indicated for young individuals without significant skin excess but with mild laxity of the midface. It also has been indicated in secondary rhytidoplasty. Wide undermining of the face and neck is performed. Liposuction at submental and submandibular areas provides noticeable improvement for the neck and mandibular contour. Plication of the SMAS and platysma muscle is used to replace tissues and to regain a youthful appearance. Improved results become evident when plication is performed over the deformity. The unlikely course for the SMAS and platysma plication is to provide an aesthetic balance for the face and neck. Extracorporeal knotting is used to hold the folded muscle in position. In addition, scars are minimal and occur in areas where they cannot be seen. However, selection criteria must be followed to achieve excellent results with this procedure.
内镜入路全脸拉皮术适用于皮肤无明显多余但中面部轻度松弛的年轻个体。它也适用于二次除皱整形手术。对面部和颈部进行广泛的皮下分离。颏下和下颌下区域的抽脂术可显著改善颈部和下颌轮廓。SMAS和颈阔肌的折叠术用于替代组织并恢复年轻外观。在畸形部位进行折叠术时，效果改善会更明显。SMAS和颈阔肌折叠术不太可能为面部和颈部提供美学平衡。采用体外打结法将折叠的肌肉固定在位。此外，疤痕极小，且位于不易被看到的部位。然而，必须遵循选择标准才能通过该手术获得出色效果。
