eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery

Rhytidectomy, SMAS Facelift: Workup

Author: Andrew Jacono, MD, Chief, Section of Facial Plastic and Reconstructive Surgery, The North Shore University Hospital at Manhasset; Assistant Professor, Division of Facial Plastic Surgery, The New York Eye and Ear Infirmary, New York Medical College; Assistant Professor, Department of Head and Neck Surgery, Albert Einstein College of Medicine; Director, The New York Center for Facial Plastic and Laser Surgery
Coauthor(s): James D Williams, MD, FACS, Consulting Staff, Department of Ear, Nose and Throat, Granville Medical Center
Contributor Information and Disclosures

Updated: Mar 24, 2008

Workup

Laboratory Studies

  • Any history of bleeding diatheses mandates a full workup, including the following:
    • Platelet count
    • Bleeding time
    • Prothrombin and activated partial thromboplastin time

More on Rhytidectomy, SMAS Facelift

Overview: Rhytidectomy, SMAS Facelift
Workup: Rhytidectomy, SMAS Facelift
Treatment: Rhytidectomy, SMAS Facelift
Follow-up: Rhytidectomy, SMAS Facelift
Multimedia: Rhytidectomy, SMAS Facelift
References

References

  1. Adamson PA, Dahiya R, Litner J. Midface effects of the deep-plane vs the superficial musculoaponeurotic system plication face-lift. Arch Facial Plast Surg. Jan-Feb 2007;9:9-11. [Medline].

  2. Aston SJ. Platysma-SMAS cervicofacial rhytidoplasty. Clin Plast Surg. Jul 1983;10(3):507-20. [Medline].

  3. Becker FF, Bassichis BA. Deep-plane face-lift vs superficial musculoaponeurotic system plication face-lift: a comparative study. Arch Facial Plast Surg. Jan-Feb 2004;6(1):8-13. [Medline].

  4. Brennan HG, Koch RJ. Management of aging neck. Facial Plast Surg. Jul 1996;12(3):241-55. [Medline].

  5. Calderon W, Andrades PR, Israel G. SMAS graft of the nasolabial area during deep plane rhytidectomy. Plast Reconstr Surg. Aug 2004;114(2):559-64; discussion 565-6. [Medline].

  6. DeCastro CC. The role of the superficial muculoaponeurotic system and facelift. Ann Plast Surg. 1986;16:279-286.

  7. Guerrero-Santos J, Espaillat L, Morales F. Muscular lift in cervical rhytidoplasty. Plast Reconstr Surg. Aug 1974;54(2):127-30. [Medline].

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

  9. Honig JF. Facelift approach with a hybrid SMAS rotation advancement flap in parotidectomy for prevention of scars and contour deficiency affecting the neck and sweat secretion of the cheek. J Craniofac Surg. Sep 2004;15(5):797-803. [Medline].

  10. Mowlavi A, Wilhelmi BJ. The extended SMAS facelift: identifying the lateral zygomaticus major muscle border using bony anatomic landmarks. Ann Plast Surg. Apr 2004;52(4):353-7. [Medline].

  11. Paranque AR, Levan P. [Cervicojugal lifting with the SMAS flap]. Rev Stomatol Chir Maxillofac. Feb 2005;106(1):33-7. [Medline].

  12. Waterhouse N, Vesely M, Bulstrode NW. Modified lateral SMASectomy. Plast Reconstr Surg. March 2007;119:1021-6;. [Medline].

Further Reading

Keywords

SMAS facelift, 2-layer cervicofacial rhytidectomy, superficial musculoaponeurotic system, SMAS, SMAS fascia, facelift, facial plastic surgery, rhytidectomy, tissue atrophy, skin laxity, elastosis

Contributor Information and Disclosures

Author

Andrew Jacono, MD, Chief, Section of Facial Plastic and Reconstructive Surgery, The North Shore University Hospital at Manhasset; Assistant Professor, Division of Facial Plastic Surgery, The New York Eye and Ear Infirmary, New York Medical College; Assistant Professor, Department of Head and Neck Surgery, Albert Einstein College of Medicine; Director, The New York Center for Facial Plastic and Laser Surgery
Andrew Jacono, 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, American College of Surgeons, and American Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

James D Williams, MD, FACS, Consulting Staff, Department of Ear, Nose and Throat, Granville Medical Center
James D Williams, MD, FACS 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, American College of Surgeons, and Medical Society of the State of New York
Disclosure: Nothing to disclose.

Medical Editor

Mark K Wax, MD, Professor and Program Director, Department of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University; Service Chief, Department of Surgery, Section of Otolaryngology, Veterans Affairs Medical Center
Mark K Wax, 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, American Bronchoesophagological Association, American College of Surgeons, American Rhinologic Society, American Society for Head and Neck Surgery, American Society for Laser Medicine and Surgery, Canadian Academy of Facial Plastic and Reconstructive Surgery, North American Skull Base Society, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

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: Advanced Headache Intervention Consulting fee Consulting; Covidien Corp Consulting fee Consulting

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
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.