The Experts below are selected from a list of 1341 Experts worldwide ranked by ideXlab platform
Rod J. Rohrich - One of the best experts on this subject based on the ideXlab platform.
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The Lift-and-Fill Facelift: Superficial Musculoaponeurotic System Manipulation with Fat Compartment Augmentation.
Clinics in plastic surgery, 2019Co-Authors: Rod J. Rohrich, Paul Durand, Erez DayanAbstract:The focus of modern face-lifting has shifted from isolated Superficial Musculoaponeurotic System (SMAS) manipulation to providing necessary volume restoration and overall facial shaping. Volume deflation is a major component of facial aging but cannot be corrected solely by rhytidectomy. This article presents a detailed overview of facial fat compartment anatomy and examines its role in facial rejuvenation. A good understanding of facial fat compartment anatomy cannot be overemphasized. In combination with methodical preoperative visual analysis, this allows surgeons to target the specific areas that have undergone deflation with fat grafting before selective SMAS manipulation.
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Safety and Adjuncts in Face Lifting.
Plastic and reconstructive surgery, 2019Co-Authors: Dinah Wan, Erez Dayan, Rod J. RohrichAbstract:Learning Objectives:After studying this article, the participant should be able to: 1. Classify the commonly performed types of face-lift procedures based on the extent of skin incision and face and neck dissection, and Superficial Musculoaponeurotic System treatment and perform the appropriate amou
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Lift-and-fill face lift: integrating the fat compartments.
Plastic and reconstructive surgery, 2014Co-Authors: Rod J. Rohrich, Ashkan Ghavami, Fadi C. Constantine, Jacob G. Unger, Ali MojallalAbstract:Background:Recent discovery of the numerous fat compartments of the face has improved our ability to more precisely restore facial volume while rejuvenating it through differential Superficial Musculoaponeurotic System treatment. Incorporation of selective fat compartment volume restoration along wi
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The arterial and venous anatomies of the lateral face lift flap and the SMAS.
Plastic and reconstructive surgery, 2009Co-Authors: Mark Victor Schaverien, Joel E. Pessa, Michel Saint-cyr, Rod J. RohrichAbstract:Background:Studies of the vascularity of the Superficial Musculoaponeurotic System (SMAS) have suggested that it is an avascular layer. Clinical studies, however, suggest that the incidence of skin slough is higher in subcutaneous face lift dissections. A reappraisal of the arterial and venous suppl
James E. Zins - One of the best experts on this subject based on the ideXlab platform.
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The Extended Superficial Musculoaponeurotic System.
Clinics in plastic surgery, 2019Co-Authors: Ali H Charafeddine, James E. ZinsAbstract:The extended Superficial Musculoaponeurotic System (SMAS) facelift targets the 2 cardinal signs of facial aging: (1) descent of the malar fat resulting in deepening of the nasolabial folds as well as accentuation of the palpebral malar groove and tear trough deformity; (2) formation of jowls, which also obscure the definition of the lower mandibular border. In this article the authors describe the concepts behind the extended SMAS operation, importantly the extent of skin dissection and SMAS elevation. They present a brief history of the operation and landmark papers and supplement with fresh cadaver dissections.
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relationship of the zygomatic facial nerve to the retaining ligaments of the face the sub smas danger zone
Plastic and Reconstructive Surgery, 2013Co-Authors: Mohammed S Alghoul, James E. Zins, Ozan Bitik, Jennifer M McbrideAbstract:Background:The transition zone between cheek Superficial Musculoaponeurotic System (SMAS) and malar SMAS is difficult to raise because of proximity of zygomatic nerve branches. The authors attempted to clarify the three-dimensional anatomy of the retaining ligaments in relation to nerve branches in
William Wei-kai Lao - One of the best experts on this subject based on the ideXlab platform.
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Preserving Orbicularis Branches of the Zygomatic Nerve with the Orbicularis Oculi Muscle-Superficial Musculoaponeurotic System Flap Complex in Facelift Surgery.
Plastic and reconstructive surgery. Global open, 2018Co-Authors: Min-hee Ryu, David Kahng, Lee Seng Khoo, William Wei-kai LaoAbstract:The orbicularis oculi muscle (OOM) is sometimes incorporated with the Superficial Musculoaponeurotic System (SMAS) flap to provide a stronger flap. While elevating the OOM flap, it is important to avoid injury to the orbicularis branches of the zygomatic nerve. When the orbicularis branches of the zygomatic nerve are identified during the OOM-SMAS flap elevation, a transverse OOM flap was created to preserve the nerve. Postoperative follow-up was 12 months. There was no functional impairment of the OOM in the follow-up period. There are anatomical variations of the orbicularis branches of the zygomatic nerve. When it is identified, a transverse OOM flap incorporating it can be raised to avoid inadvertent injury. Using this method, good results were achieved with virtually no complications.
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Preserving Orbicularis Branches of the Zygomatic Nerve with the Orbicularis Oculi Muscle—Superficial Musculoaponeurotic System Flap Complex in Facelift Surgery
Wolters Kluwer, 2018Co-Authors: Min-hee Ryu, David Kahng, Lee Seng Khoo, William Wei-kai LaoAbstract:Summary:. The orbicularis oculi muscle (OOM) is sometimes incorporated with the Superficial Musculoaponeurotic System (SMAS) flap to provide a stronger flap. While elevating the OOM flap, it is important to avoid injury to the orbicularis branches of the zygomatic nerve. When the orbicularis branches of the zygomatic nerve are identified during the OOM-SMAS flap elevation, a transverse OOM flap was created to preserve the nerve. Postoperative follow-up was 12 months. There was no functional impairment of the OOM in the follow-up period. There are anatomical variations of the orbicularis branches of the zygomatic nerve. When it is identified, a transverse OOM flap incorporating it can be raised to avoid inadvertent injury. Using this method, good results were achieved with virtually no complications
Min-hee Ryu - One of the best experts on this subject based on the ideXlab platform.
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Preserving Orbicularis Branches of the Zygomatic Nerve with the Orbicularis Oculi Muscle-Superficial Musculoaponeurotic System Flap Complex in Facelift Surgery.
Plastic and reconstructive surgery. Global open, 2018Co-Authors: Min-hee Ryu, David Kahng, Lee Seng Khoo, William Wei-kai LaoAbstract:The orbicularis oculi muscle (OOM) is sometimes incorporated with the Superficial Musculoaponeurotic System (SMAS) flap to provide a stronger flap. While elevating the OOM flap, it is important to avoid injury to the orbicularis branches of the zygomatic nerve. When the orbicularis branches of the zygomatic nerve are identified during the OOM-SMAS flap elevation, a transverse OOM flap was created to preserve the nerve. Postoperative follow-up was 12 months. There was no functional impairment of the OOM in the follow-up period. There are anatomical variations of the orbicularis branches of the zygomatic nerve. When it is identified, a transverse OOM flap incorporating it can be raised to avoid inadvertent injury. Using this method, good results were achieved with virtually no complications.
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Preserving Orbicularis Branches of the Zygomatic Nerve with the Orbicularis Oculi Muscle—Superficial Musculoaponeurotic System Flap Complex in Facelift Surgery
Wolters Kluwer, 2018Co-Authors: Min-hee Ryu, David Kahng, Lee Seng Khoo, William Wei-kai LaoAbstract:Summary:. The orbicularis oculi muscle (OOM) is sometimes incorporated with the Superficial Musculoaponeurotic System (SMAS) flap to provide a stronger flap. While elevating the OOM flap, it is important to avoid injury to the orbicularis branches of the zygomatic nerve. When the orbicularis branches of the zygomatic nerve are identified during the OOM-SMAS flap elevation, a transverse OOM flap was created to preserve the nerve. Postoperative follow-up was 12 months. There was no functional impairment of the OOM in the follow-up period. There are anatomical variations of the orbicularis branches of the zygomatic nerve. When it is identified, a transverse OOM flap incorporating it can be raised to avoid inadvertent injury. Using this method, good results were achieved with virtually no complications
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High Superficial Musculoaponeurotic System facelift with finger-assisted facial spaces dissection for Asian patients
Aesthetic Surgery Journal, 2015Co-Authors: Min-hee Ryu, Victor A. MoonAbstract:BACKGROUND: Few facelift methods are designed specifically for Asian patients. Because of their characteristic thick skin and flat, wide facial geometry, satisfactory facelift results can be difficult to achieve in these patients.\n\nOBJECTIVES: The authors evaluated outcomes achieved with a high Superficial Musculoaponeurotic System (high-SMAS) facelift with finger-assisted facial spaces dissection to rejuvenate the aging Asian face.\n\nMETHODS: Fifty-three patients underwent this facelift procedure. The indication for surgery was typical sagging of the face associated with aging; the relative contraindications were previous facelift and severe facial atrophy.\n\nRESULTS: Mean patient age was 50.7 years. Patients received follow-up for a mean of 19 months. In all cases, improvement was seen in soft-tissue sagging of the midface and lower face. One patient experienced unilateral temporal nerve injury, 3 experienced hematoma, and 2 had wound dehiscence.\n\nCONCLUSIONS: Understanding surgical anatomy including facial layers, spaces, and retaining ligaments is crucial for stable application of facelift techniques in Asian patients. Because of the small number of patients evaluated in this study and the limited follow-up period, more research is needed to define suitable facelift methods for these patients.
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High Superficial Musculoaponeurotic System Facelift with Finger-Assisted Facial Spaces Dissection for Asian Patients
Aesthetic surgery journal, 2015Co-Authors: Min-hee Ryu, Victor A. MoonAbstract:Background Few facelift methods are designed specifically for Asian patients. Because of their characteristic thick skin and flat, wide facial geometry, satisfactory facelift results can be difficult to achieve in these patients. Objectives The authors evaluated outcomes achieved with a high Superficial Musculoaponeurotic System (high-SMAS) facelift with finger-assisted facial spaces dissection to rejuvenate the aging Asian face. Methods Fifty-three patients underwent this facelift procedure. The indication for surgery was typical sagging of the face associated with aging; the relative contraindications were previous facelift and severe facial atrophy. Results Mean patient age was 50.7 years. Patients received follow-up for a mean of 19 months. In all cases, improvement was seen in soft-tissue sagging of the midface and lower face. One patient experienced unilateral temporal nerve injury, 3 experienced hematoma, and 2 had wound dehiscence. Conclusions Understanding surgical anatomy including facial layers, spaces, and retaining ligaments is crucial for stable application of facelift techniques in Asian patients. Because of the small number of patients evaluated in this study and the limited follow-up period, more research is needed to define suitable facelift methods for these patients. Level of Evidence: 4 ![Graphic][1] Therapeutic [1]: /embed/inline-graphic-1.gif
John D. Casler - One of the best experts on this subject based on the ideXlab platform.
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Wound tension in rhytidectomy. Effects of skin-flap undermining and Superficial Musculoaponeurotic System suspension.
Archives of otolaryngology--head & neck surgery, 1993Co-Authors: Lawrence P. A. Burgess, John D. Casler, Thomas C. Kryzer, J. Regan ThomasAbstract:• This study was conducted to determine the effects of skin-flap undermining and Superficial Musculoaponeurotic System (SMAS) suspension on wound-closing tension. Nine sides from five fresh-frozen cadavers were used, with closing tension measured at the two main anchor points, anteriorly (A) and posteriorly (P), with and without SMAS plication for minimal (MIN), intermediate (INT), and maximal (MAX) skin-flap undermining. Results indicated that closing tension was significantly decreased with SMAS plication, both A and P, for all three levels of skin undermining. The average decrease in closing tension with SMAS plication was: A-MIN 191 g, A-INT 95 g, A-MAX 83 g, P-MIN 235 g, P-INT 68 g, and P-MAX 70 g ( P ( Arch Otolaryngol Head Neck Surg . 1993;119:173-177)
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Sternocleidomastoid muscle transfer and Superficial Musculoaponeurotic System plication in the prevention of Frey's syndrome.
The Laryngoscope, 1991Co-Authors: John D. Casler, John ConleyAbstract:Parotidectomy may be associated with a significant depression in the retromandibular region and a significant incidence of gustatory sweating (Frey's syndrome). Superiorly and inferiorly based sternocleidomastoid flaps and posterior plication of the Superficial Musculoaponeurotic System were evaluated for their ability to ameliorate both consequences. Sixteen patients with sternocleidomastoid flaps and 16 patients with Superficial Musculoaponeurotic System plication were compared to a control group of 104 patients. The incidence of Frey's syndrome was 47.1% in the control group, 12.5% (P = 0.025) in the sternocleidomastoid flap group, and 0% (P = 0.005) in the Superficial Musculoaponeurotic System plication group. The surgical techniques are described. The prevalence of Frey's syndrome is discussed with respect to age, sex, radiation therapy, and the type of parotidectomy performed. The indications and contraindications of the three surgical techniques are described.
