Male face lift in continuity with lower blepharoplasty

Straith, Richard E.; Botta, Samuel A.

doi:10.1007/bf01570379

Cited by 8 publications

(3 citation statements)

References 8 publications

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“…Straith and Botta report a similar incision but with the pretragal incision in a more anterior position. 7 Both authors connect the anterior extension with a lower blepharoplasty incision if the latter is contemplated. Temporal hair repositioning will be less with this technique, but visible scarring again is a problem and may negate any benefits.…”

Section: Resultsmentioning

confidence: 99%

Modified Temporal Incision for Facial Rhytidectomy: An 18-Year Experience

Guyuron

Watkins

Totonchi

2005

Plastic and Reconstructive Surgery

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An 18-year experience with the senior author's temporal incision is expounded. First, the existing sideburn is outlined with a marking pen. A sideburn is designed approximately 2 cm wide and 2 cm long, regardless of the extent of the existing sideburn providing the minimum sideburn. The posterocaudal portions of the newly designed sideburn will correspond to that of the existing dense portion of the sideburn. After dissection and removal of excess skin, the entire vertical portion of the scar will remain within the hair-bearing skin, eliminating the potential for visibility unless preoperatively the sideburn is less that 2 cm wide. There are several advantages to this approach. First, the configuration of the sideburn remains essentially unaltered. Second, the length of distribution for the redundant redraped facial skin is increased in comparison with most other incisions, thus avoiding a dog-ear regardless of the extent of the excess facial skin. Rhytidectomy is more effective because the distance from the incision to the nasolabial crease and the oral commissure is reduced, thereby effectively transmitting the traction forces to these sites compared with the conventional temporal incision that is placed above the ear. In addition, exposure of the surgical field is significantly enhanced by the added ability to rotate the skin flap medially. The potential disadvantage is that the operative time is increased to accommodate meticulous repair of the temporal incision. A slight modification of this incision has been implemented over the past 18 years, placing the anterior vertical incision farther posterior compared with the original report. The horizontal and posterior vertical portions of the incision are positioned at the hairline, resulting in an inconspicuous scar. None of the 125 patients in this latter group required a scar revision compared with 37 (4.28 percent) of 865 patients before this modification. This technique effectively achieves the goal of facial rhytidectomy and maintains a natural appearance without discernible scars for most patients. Patient and surgeon satisfaction with this method has been very high, and consequently, it has been used for almost all patients in the senior author's (Guyuron's) practice.

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Section: Resultsmentioning

confidence: 99%

Modified Temporal Incision for Facial Rhytidectomy: An 18-Year Experience

Guyuron

Watkins

Totonchi

2005

Plastic and Reconstructive Surgery

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“…All these points are best corrected by treatment of the face and neck in unison (9), using any standard cervicofacial rhytidectomy technique (6)(7)(8). Many have condemned localized procedures alone for improvement of neck aesthetics (9,11).…”

Section: Discussionmentioning

confidence: 99%

“…In spite of this prior experience, cosmetic neck enhancement by a direct approach has been paid little attention today because of the superb results usually obtainable from standard rhytidectomy procedures that altogether avoid any conspicuous neck scars (6)(7)(8).…”

Section: Résumémentioning

confidence: 99%

V-excision modification for direct necklift

Hallock¹,

Geoffrey²

1995

CAN J PLAST SURG

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GG Hallock. V-excision modification for direct necklift. Can J Plast Surg 1995;3(2):83-86. The occasional patient who desires solely aesthetic correction of a neck deformity, but refuses to undergo a classical rhytidectomy, might be a candidate for direct neck skin excision. Eight such patients underwent a V-excision modification with Z-plasty for direct necklift with reasonable results achieved in six (75%). All complications (25%) including hypertrophic scarring and vertical neck contracture occurred in females. All scars, however inconspicuous, were still apparent upon close inspection. Appropriate awareness of these sequelae must be acceptable to any candidate before embarking on this unconventional approach to improvement of neck contour. Key Words: Direct necklift, Facelift, Neck rhytidectomyModification de l'excision en V pour le redrapage cervical RÉSUMÉ : Les quelques patients qui ne souhaitent qu'une correction esthétique d'une difformité au niveau cervical et qui refusent de subir une rhytidectomie classique peuvent être de bons candidats pour une excision cutanée directe au niveau du cou. Huit patients de cette catégorie ont subi une excision en V modifiée, avec plastie en Z pour redrapage cervical direct avec des résultats satisfaisants chez six d'entre eux (75 %). Toutes les complications (25 %), y compris la cicatrisation hypertrophique et la contracture verticale du cou, sont survenues chez des patientes. Toutes les cicatrices, même discrètes, étaient encore apparentes à l'inspection attentive. Tout candidat à cette approche peu orthodoxe pour l'amélioration du contour du cou doit être au courant des séquelles possibles et les accepter.Not altogether uncommon is the consultation requested solely with the intent to seek elimination of an excessive vertical fold of skin and fat from the anterior neck region. The obvious surgical solution would be a conventional cervicofacial rhytidectomy. Yet some patients are reluctant to pursue such advice and are insistent that only a local procedure be performed instead.This concept is not without precedent as references to local dermolipectomies with direct neck skin excisions appear as early as 1932 (1). Cronin and Biggs outlined a technique using a superior transverse ellipse and vertical rectangle skin excision followed by Z-plasty (2); this was subsequently modified to become their method of choice for the male seeking neck improvement but specifically refusing a facelift (3,4). They also provided an historical overview of the development of this concept, beginning with simple transverse or vertical elliptical skin excisions, H-shaped incisions, and ultimately

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Facelift bei Männern - was ist das Besondere daran?

Kantelhardt¹

2023

ästhet dermatol kosmetol

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Male face lift in continuity with lower blepharoplasty

Cited by 8 publications

References 8 publications

Modified Temporal Incision for Facial Rhytidectomy: An 18-Year Experience

Modified Temporal Incision for Facial Rhytidectomy: An 18-Year Experience

V-excision modification for direct necklift

Facelift bei Männern - was ist das Besondere daran?

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