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Evaluating the Effectiveness of the High-SMAS Facelift Technique: Objective Clinical Outcomes at 1-year.
Botti, Giovanni; Contessi Negrini, Filippo; Scarabosio, Anna; Surico, Pier Luigi; Botti, Chiara.
Afiliación
  • Botti G; Villa Bella Clinic, Salò, Italy.
  • Contessi Negrini F; Villa Bella Clinic, Salò, Italy.
  • Scarabosio A; Department of Medical Area (DIME), Clinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, University of Udine, Udine, Italy. scarabosioanna@gmail.com.
  • Surico PL; Plastic Surgery Department, Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA. scarabosioanna@gmail.com.
  • Botti C; Harvard Medical School, Schepens Eye Research Institute of Mass Eye and Ear, Boston, MA, USA.
Aesthetic Plast Surg ; 2024 Jul 17.
Article en En | MEDLINE | ID: mdl-39020030
ABSTRACT

BACKGROUND:

The primary goal of the facelift is to rejuvenate the face without changing its natural features. This involves working on the deeper layers to preserve the surface look while adjusting the fat pads beneath. Thus, we often use a modified High-SMAS facelift method, following this deep-layer approach. The study evaluates whether the high-SMAS facelift, focusing on optimal repositioning, can effectively reduce aging signs in the mid to lower face and neck.

METHODS:

Conducted from 2018 to 2022, this retrospective cohort study included demographic data, relevant comorbidities, and operative details of patients undergoing lateral extended high-SMAS facial lifting, excluding revision cases. Complications were recorded, and a minimum one-year follow-up was ensured. The technique's effectiveness was assessed using pre- and one-year post-surgery images analyzed by three masked examiners with a validated scoring method by La Padula et al.

RESULTS:

The study included 325 patients, with no major complications reported. Significant improvements were noted in post-operative High-SMAS visual scores compared to pre-operative scores (p < 0.0001), particularly in cheek fullness, jawline, and cervical angle definition.

CONCLUSIONS:

The High-SMAS facelift technique, evaluated using the Face- and Neck-Lift Objective Photo-Numerical Assessment Scale, demonstrated significant cosmetic enhancements. This technique, focusing on optimal flap draping vectors, effectively restores a youthful appearance by improving facial contours. LEVEL OF EVIDENCE IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Aesthetic Plast Surg Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Aesthetic Plast Surg Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos