Anatomic Considerations in Rhytidectomy

The 1996 article emphasizes the importance of detailed anatomical knowledge in performing rhytidectomy, or facelift surgery, to avoid nerve damage and achieve optimal results. It discusses how aging affects facial structures, leading to changes such as skin laxity and the descent of facial features. The paper highlights the significance of the facial nerve and its branches, the role of mimetic muscles in aging, and the necessity of preserving certain muscles for a natural look. Techniques like endoscopic forehead rhytidectomy and platysma plication are mentioned, as well as the importance of vascular supply during different facelift methods. Incision placement and dissection planes are discussed in relation to patient-specific factors, and adjunctive procedures are considered for enhanced outcomes. The conclusion underscores the critical need for surgeons to have a comprehensive understanding of head and neck anatomy for the safe and effective application of facelift techniques.