eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery

Rhytidectomy, Subperiosteal Facelift: Workup

Author: Adam J Cohen, MD, Eyelid and Facial Aesthetic and Reconstructive Surgery, Diseases and Surgery of the Orbit and Lacrimal System, Cosmetic Laser Surgery
Coauthor(s): Michael Mercandetti, MD, MBA, FACS, Consulting Staff, Department of Surgery, Doctors Hospital of Sarasota
Contributor Information and Disclosures

Updated: Oct 13, 2008

Workup

Laboratory Studies

  • Preoperative complete blood counts, coagulation profiles, and chemistries should be obtained.
  • An ECG and chest roentgenogram may be indicated for review by the appropriate specialist preoperatively.

Imaging Studies

  • Standard preoperative photos are useful for intraoperative reference and reminding the patient of his or her presurgical appearance when critiquing the outcome.

More on Rhytidectomy, Subperiosteal Facelift

Overview: Rhytidectomy, Subperiosteal Facelift
Workup: Rhytidectomy, Subperiosteal Facelift
Treatment: Rhytidectomy, Subperiosteal Facelift
Multimedia: Rhytidectomy, Subperiosteal Facelift
References

References

  1. Tessier P. [Subperiosteal face-lift]. Ann Chir Plast Esthet. 1989;34(3):193-7. [Medline].

  2. Psillakis JM, Rumley TO, Camargos A. Subperiosteal approach as an improved concept for correction of the aging face. Plast Reconstr Surg. Sep 1988;82(3):383-94. [Medline].

  3. Ramirez OM, Pozner JN. Subperiosteal minimally invasive laser endoscopic rhytidectomy: the SMILE facelift. Aesthetic Plast Surg. Nov-Dec 1996;20(6):463-70. [Medline].

  4. Ramirez OM. High-tech facelift. Aesthetic Plast Surg. Sep-Oct 1998;22(5):318-28. [Medline].

  5. Hamra ST. The deep-plane rhytidectomy. Plast Reconstr Surg. Jul 1990;86(1):53-61; discussion 62-3. [Medline].

  6. Furnas DW. The retaining ligaments of the cheek. Plast Reconstr Surg. Jan 1989;83(1):11-6. [Medline].

  7. Heinrichs HL, Kaidi AA. Subperiosteal face lift: a 200-case, 4-year review. Plast Reconstr Surg. Sep 1998;102(3):843-55. [Medline].

  8. Quatela VC, Sabini-P. Techniques in deep plane facelifting. Facial Plast Surg Clin North Am. May 2000;8(2):193-209.

  9. Stuzin JM, Baker TJ, Gordon HL, et al. Extended SMAS dissection as an approach to midface rejuvenation. Clin Plast Surg. Apr 1995;22(2):295-311. [Medline].

  10. Toth BA, Daane SP. Subperiosteal midface lifting: a simplified approach. Ann Plast Surg. Mar 2004;52(3):293-6. [Medline].

  11. Patrocinio LG, Patrocinio JA, Couto HG, et al. Subperiosteal facelift: a 5-year experience. Braz J Otorhinolaryngol. Sep-Oct 2006;72(5):592-7. [Medline].

  12. Gentile RD. Subperiosteal deep plane rhytidectomy: the composite midface lift. Facial Plast Surg. Nov 2005;21(4):286-95. [Medline].

  13. Sclafani AP. Comprehensive periorbital rejuvenation with resorbable endotine implants for trans-lid brow and midface elevation. Facial Plast Surg Clin North Am. May 2007;15(2):255-64, viii. [Medline].

  14. Newman J. Safety and efficacy of midface-lifts with an absorbable soft tissue suspension device. Arch Facial Plast Surg. Jul-Aug 2006;8(4):245-51. [Medline].

  15. Cheng ET, Perkins SW. Rhytidectomy analysis: twenty years of experience. Facial Plast Surg Clin North Am. Feb 2005;13(1):15-31. [Medline].

  16. Cornette de Saint Cyr B, Maillard GF, et al. The subperiosteal lift. Aesthetic Plast Surg. Spring 1993;17(2):151-5. [Medline].

  17. Guyuron B, Watkins F, Totonchi A. Modified temporal incision for facial rhytidectomy: an 18-year experience. Plast Reconstr Surg. Feb 2005;115(2):609-16; discussion 617-9. [Medline].

  18. Hamra ST. The zygorbicular dissection in composite rhytidectomy: an ideal midface plane. Plast Reconstr Surg. Oct 1998;102(5):1646-57. [Medline].

  19. Ivy EJ, Lorenc ZP, Aston SJ. Is there a difference? A prospective study comparing lateral and standard SMAS face lifts with extended SMAS and composite rhytidectomies. Plast Reconstr Surg. Dec 1996;98(7):1135-43; discussion 1144-7. [Medline].

  20. Maillard GF. The subperiosteal bicoronal approach to total facelifting: the DMAS--deep musculoaponeurotic system.

  21. Mercandetti M, Cohen AJ. Anesthesia, Local With Sedation eMedicine Journal [serial online]. 2001;Available at: http://www.emedicine.com/plastic/topic112.htm. [Full Text].

  22. Scheflan M, Maillard GF, Cornette de St Cyr B, et al. Subperiosteal facelifting: complications and the dissatisfied patient. Aesthetic Plast Surg. Winter 1996;20(1):33-6. [Medline].

  23. Stuzin JM, Baker TJ, Gordon HL. The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. Plast Reconstr Surg. Mar 1992;89(3):441-9; discussion 450-1. [Medline].

Further Reading

Keywords

subperiosteal facelift, facelift, face lift, facial aging, face-lift, rhytidectomy, deep-plane rhytidectomy, deep-plane facelift, facelifting, superficial muscular and aponeurotic system, SMAS, sub-SMAS technique, facial rejuvenation, rhytide, deep-plane rhytidectomy, subperiosteal dissection, orthomorphic subperiosteal face lift

Contributor Information and Disclosures

Author

Adam J Cohen, MD, Eyelid and Facial Aesthetic and Reconstructive Surgery, Diseases and Surgery of the Orbit and Lacrimal System, Cosmetic Laser Surgery
Adam J Cohen, MD is a member of the following medical societies: American Academy of Ophthalmology and American College of Surgeons
Disclosure: Nothing to disclose.

Coauthor(s)

Michael Mercandetti, MD, MBA, FACS, Consulting Staff, Department of Surgery, Doctors Hospital of Sarasota
Michael Mercandetti, MD, MBA, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Ophthalmology, American College of Surgeons, American Society for Laser Medicine and Surgery, American Society of Ophthalmic Plastic and Reconstructive Surgery, Association of Military Surgeons of the US, and Sarasota County Medical Society
Disclosure: Nothing to disclose.

Medical Editor

Anthony P Sclafani, MD, Director of Facial Plastic Surgery, The New York Eye and Ear Infirmary; Professor of Otolaryngology, New York Medical College
Anthony P Sclafani, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American College of Surgeons
Disclosure: Medicis None Speaking and teaching; Contura None Board membership; Cascade Medical Grant/research funds Independent contractor; Cascade Medical None Board membership

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Dominique Dorion, MD, MSc, FRCSC, Program Director and Division Chair, Professor of Surgery, Division of Otolaryngology, University of Sherbrooke, Canada
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

 
 
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