Downloaded 432 times
Uploaded byNaranjargalan Nyamsuren
Facial lift
This document discusses preoperative evaluation and clinical evaluation for facelift surgery. It explores patient motivations and potential contraindications like diabetes or smoking. Ideal candidates are described as having elastic skin and good bone structure. The anatomy of the superficial musculoaponeurotic system (SMAS) is explained in detail. Various facelift techniques are outlined like subcutaneous lift, SMAS lift, and deep-plane lift. Incision sites, platysma muscle positioning, and suturing techniques are shown. Potential complications of facelift surgery are also listed.
More Related Content
Facial lift
- 1. Naranjargalan.N M.S July 15,2015 15th presentation 1
- 2. Preoperative evaluation Explore patient’sdesires and motivations SAFE Self-image Anxiety Fear Expectation 2
- 3. Potential contraindications Diabetes Smoking Collagen-vascular disease Psychiatric history Steroid use 3
- 4. Clinical Evaluation “Face-lift” Chin/neck lift Nasolabialfold Fine or deep rhytids Ideal patient Elastic and not too much skin Little fat Good bone structure (hyoid) 4
- 5. Clinical Evaluation Less thanideal candidates Discuss expectations in detail Need for other procedures 5
- 6. Clinical Evaluation Important toassess hyoid position High hyoid is ideal for cervicomental angle 6
- 7. Clinical Evaluation Adjunctive Techniques Laser peel Dermabrasion Chemicalpeel Neck treatment Implants Blepharoplasty Forehead lift Rhinoplasty 7
- 8.
- 9. SMAS Facial nerve liesdeep to the SMAS Posteriorly, the SMAS fuses with the fascia overlying the sternocleidomastoid muscle, but it is a distinct layer superficial to the parotid fascia Anterosuperiorly, the SMAS invests the facial mimetic muscles of the mid-face (i.e., orbicularis oculi, zygomatic major/minor, levator labii superioris) the melolabial crease and upper lip
- 11. Scalp galea Upper face continuous with frontalis and orbicularis oculi Temporal region temporoparietal fascia (superficial temporal fascia) Parotid region dense fibrous layer overlying parotid gland Cheek thin layer invests superficial mimetic muscles Lower face continuous with platysma 11
- 12.
- 13. Facial Artery andNerve 13
- 14. The most dangerousplaces 14
- 15. Temporal branch ismost superficial Crosses junction of anterior 1/3 and posterior 2/3 of zygomatic arch Above the arch it travels in the temporoparietal fascia to innervate frontalis and orbicularis oculi 15
- 16. Platysma Origin: clavicles and1st rib and 5 cm below the angle of the mandible Insertion: blends with the SMAS and lip depressors 16
- 17. Techniques Subcutaneous lift SMAS lift Deep-planelift Composite lift Subperiosteal lift 17
- 18.
- 19.
- 20. Subcutaneous lift (fulltickness skin graft) 20
- 21.
- 22.
- 23.
- 24.
- 25.
- 26.
- 27.
- 28.
- 29.
- 30.
- 31. SMAS Facelift Rotationof the SMAS- platysma flap 31
- 32.
- 33.
- 34.
- 35.
- 36.
- 37. SMAS Facelift Usuallywith liposuction and submental incision 37
- 38.
- 39.
- 40.
- 41.
- 42.
- 43. Skin reduction andplatysma muscle repositioning 43
- 44.
- 45.
- 46.
- 47.
- 48.
- 49. Deep Plane Facelift Skinreduction, platysma muscle repositioning and cheek fat repositioning 49
- 50.
- 51. Composite Face Lift 51 Elevatesand repositions the m.orbicular, the cheek fat and platysma muscle
- 52. MACS lift Minimal accesscranial suspension Insicion is including skin fold of front of the ear and following hairline 52
- 53. Suturing First suture isgoing from deep temporalis fascia to angle between the mandible and the neck. Second suture is going from deep temporalis fascia to cyrcle between the cheek . It is parallel with nasolabial fold. Third suture lift the lower eyelid and malar. 53
- 54.
- 55. Complications Hematoma Skin flap necrosis Nerveinjury Greater auricular Frontal Pixie ear Hairline changes Hypertrophic scar and widening of scar Alopecia Infection 55