SMAS Facelift Techniques to Minimize Stigmata of Surgery

    August 2005 in “ Facial Plastic Surgery Clinics of North America ”
    Timothy R. Miller, Karl J. Eisbach
    TLDR Specific techniques can make facelift results look more natural.
    The document discussed techniques to minimize the stigmata of facial rejuvenation surgery, such as unnatural hairlines, tragal distortions, and ear lobule deformities. Key strategies included careful preoperative analysis, specific incision designs, and meticulous attention to detail to achieve a natural, youthful appearance. For hairline incisions, preventing temporal hair loss and re-establishing a natural postauricular hairline were crucial for patient satisfaction. Neck rejuvenation aimed to restore a youthful contour through multiple maneuvers, including skin undermining and platysma muscle reapproximation. Emphasis was placed on achieving a refreshed look without a "pulled" appearance, and managing patient expectations regarding recovery time and postoperative effects like bruising and edema. The techniques and philosophy presented were successful in building a practice based on patient and cosmetologist referrals.
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