Reshaping the face form simultaneously during the rhytidectomy
WANG Zhi-jun, WANG Na, ZHANG Chen, el al. ( Xinhua Hospital Affiliated Dalian University, Dalian 116021, China)
Abstract: Objective To explore clinical effect of reshaping the face from during the rhytidectomy and its announcements. Methods The SMAS-platysma rhytidectomy was adopted. the operative procedure were following: the SMAS-platysma was separated for exposing the masseter muscle and the masseter muscle was transected for exposing the most of the mandibular angle mandibular body; the exposed zygomatic process and zygomatic arch was lified und fixed through the coronal incision; the cheek fat pad under SMAS was separated and lifted; the hollow parts of the temple, forehead, the superciliary arch were filled with the cut SMAS - platysma flap or ePTFE. From Aug 1999 to Aug 2008,132 cases received the operation. Results All 132 patients were healed without complications except 1 case with wound of zygomatic branch of facial nerve and 4 cases with haematoma which recovered after treatment but operative area showed slight swell and its lasting time was longer 1 ~2d than the simple rhytidectomy. After 3 months ~ 5 years follow-up for 28 cases, both facial juvenescence and ideal facial contour were achieved. Conclusion Facial contour beauty by osteotomy and filling during the rhytidectomy can obtain double effects of facial juvenescence and ideal facial contour under circumstances of master the facial anatomic structure and operative skills. The method can avoid happening of sever complications except the slight swell團體服,ing.
Fig 1 View of corniculi maxillaris excision during rhytidectomy simultancously.
Fig 2 View of zygomatic process and zygomaticarch lifting during rhytidectomy simultaneously. a. interaoperative view of zygomatic arch excision in the lift side. b.intraoperative view of zygomatic process and zygomatic arch fixing and locating in the left side.
Fig3 View of cheek fat pad lifting post – up-ward during rhytidectomy simultaneously. a.intraopertive view of cheek fat pad exposure. b.intraopertive view of cheek fat pad lifting in the left side.
Fig 4 View of temple,superciliary arch filled by the trimed SMAS-platysma flap.
Fig 5 Comparison between prexiew and postview of rehaping facial contour simultaneously during rhytidectomy. a. preview. b.postview at 1 year.
[7]KRASTIONVA-LOLOV D. Mask lift and facial aesthetic selpturing[J] .Plast Reconstr Surg,1995,95(1):21-36.
[8]TAPIA A, RUIZ-De-ERENCHUN R, RENGIFO M. Combined approach for facial contour restration:treatment of malar and cheek areas during rhtidectomy[J].Plast Reconstr Surg,2006,118(2):491-497.
[9]GRAF R. GROTH A K, PACE D. et al. Fucial rejuvenation with SMAS ectomy and FAME using vertical vectors [ J ]. Aesthetic Plast Surg,2008,32(4) :585-592.
[10]ALSAADI G, JACOBS R. QUlRYNEN M, et al. Soft tissue augmentation Of the chreek detected on intra-and extraoral radiographs:a case report[J]. Dentomaxillofac Radiol,2008,37(2) :117-120.
[11]Le LOUARN C, BUTHIAU D, BUIS J. The face recurve concept:medical and surgical applications [J].Aesthetic Plast Surg,2007.31(3):219-231.
[14] ROBBINS L B, BROTHERS DB. MARSHALL D M. Anterior SMAS plication for the treatment of prominent nasomandibular folds and restoration of nornal cheek contour[ J]. Plast Reconstr