Subperiosteal Rhytidectomy Workup

  • Author: Adam J Cohen, MD; Chief Editor: Arlen D Meyers, MD, MBA   more...
 
Updated: Aug 4, 2011
 

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.
Next

Imaging Studies

  • Standard preoperative photos are useful for intraoperative reference and reminding the patient of his or her presurgical appearance when critiquing the outcome.
Previous
Proceed to Treatment & Management
 
 
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, American College of Surgeons, and American Society of Ophthalmic Plastic and Reconstructive Surgery

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.

Specialty Editor Board

Anthony P Sclafani, MD  Director of Facial Plastic Surgery and Surgeon Director, 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: Contura None Board membership; Aesthetic Factors, Inc. Grant/research funds Independent contractor

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Dominique Dorion, MD, MSc, FRCSC, FACS  Vice Dean and Associate Dean of Resources, Professor of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Sherbrooke Faculty of Medicine, Canada

Disclosure: Nothing to disclose.

Christopher L Slack, MD  Private Practice in Otolaryngology and Facial Plastic Surgery, 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 Unrestricted 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; Cerescan Imaging Honoraria Consulting; GYRUS ACMI Honoraria Consulting

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. American Society for Aesthetic Plastic Surgery. Despite Recession, Overall Plastic Surgery Demand Drops Only 2 Percent From Last Year. American Society for Aesthetic Plastic Surgery. Available at http://www.surgery.org/media/news-releases/despite-recession-overall-plastic-surgery-demand-drops-only-2-percent-from-last-year. Accessed 3/18/2010.

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

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

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

  10. 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].

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

  12. 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].

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

  14. 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].

  15. 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].

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

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

  18. 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].

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

  20. 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].

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

  22. Mercandetti M, Cohen AJ. Anesthesia, Local With Sedation. eMedicine Journal [serial online]. Available at http://emedicine.medscape.com/article/1271621-overview.

  23. 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].

  24. 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].

 
Previous
Next
 
When an endoscopic forehead lift is done in conjunction with a facelift, the lateral port can be used as an access site for a midface lift as shown here.
A cheek flap is developed in preparation for a deep plane dissection.
The superficial muscular and aponeurotic system (SMAS) is incised to facilitate a deep plane dissection.
The superficial muscular and aponeurotic system (SMAS) is imbricated and secured in a more superior posterior position with sutures.
Creation of partial thickness Endotine hole for placement of device.
Subperiosteal midface dissection via a transconjunctival approach.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2012 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.