RESUMO
BACKGROUND: Performing a face-lift for smokers, bald people, and those looking for a quick recovery is always a challenge. The submucosal aponeurotic system (SMAS) plication technique with limited undermining provides great suspension and has proved to be a safe and fast way to perform a face-lift surgery. METHODS: The procedure is a suspension technique for face-lifting based on a purse-string suture around the ear that allows all the soft tissues of the face and neck to be elevated and anchored in the strong structures of the cranial muscles and aponeurosis. This allows a harmonic volumetric repositioning and results in almost no dead space because the circular plication diminishes the surgical undermining when stretched. A total of 225 face-lifts were performed. RESULTS: Because this procedure offers quick recovery and long-lasting results with minimal complications, patients become fearless about face-lift surgery. CONCLUSIONS: The RoundBlock SMAS treatment is a suspension method for face-lifts that is safe and fast, results in reduced scars and no dead space, requires no drains, and has a quick recovery time.