
Facelift Surgical Techniques, An Issue of Facial Plastic Surgery Clinics of North America
- 1st Edition, Volume 28-3 - June 8, 2020
- Imprint: Elsevier
- Editor: Andrew A. Jacono
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 0 8 3 9 - 5
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 0 8 4 0 - 1
This issue of Facial Plastic Surgery Clinics, guest edited by Dr. Andrew A. Jacono, is devoted to Facelift Surgical Techniques. This issue is one of four selected each year by the… Read more

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Request a sales quoteThis issue of Facial Plastic Surgery Clinics, guest edited by Dr. Andrew A. Jacono, is devoted to Facelift Surgical Techniques. This issue is one of four selected each year by the series Consulting Editor, Dr. J. Regan Thomas. Articles in this issue include: Extended Deep Plane Facelifting, Extended SMAS Flap Rhytidectomy, Vertical Platysma Advancement Deep Plane Facelifting, Incorporating Midline Platysmaplasty with Lateral SMAS Facelifting, Subunit, Approach to Facelifting and Facial Rejuvenation, Superficial and Deep Facial Anatomy and Its Implication for Rhytidectomy Surgery, Laser Assisted Facelifting and Energy-Based Rejuvenation Techniques During Rhyrtidectomy, Incorporating Fat Grafting with Facelift Surgery, Approaches to Reducing Risk in, Rhytidectomy Surgery, Nuances in SMAS Rhytidectomy, Less Invasive SMAS Approaches in Rhytidectomy, and Local Anesthesia Facelifting.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Facial Plastic Surgery Clinics of North America
- Foreword
- Preface
- Superficial and Deep Facial Anatomy and Its Implications for Rhytidectomy
- Key points
- Introduction
- Layers of the face
- Layer I: skin
- Layer III: superficial fascia (superficial musculoaponeurotic system)
- Temporal region
- Superficial fat of the face
- Deep fat of the face
- Facial nerve
- Facial artery and vein
- Facial ligaments
- Biomechanics of the face
- Summary
- Subunit Approach to Facelifting and Facial Rejuvenation
- Key points
- Introduction
- History of facial rejuvenation and anatomic principles
- Topography of face and aging
- Classic facial analysis and current understanding of beauty
- Modern facial analysis and rejuvenation algorithms using the facial anatomic subunit analysis
- Facial anatomic subunit analysis techniques
- Zygomatic cheek subunit
- Lateral cheek subunit
- Buccal subunit
- Medial cheek subunit
- Temple subunit
- Forehead and eyebrow
- Periorbital unit
- Lip and perioral subunit
- Mental subunit and neck
- Nose subunit
- Technical considerations in rhytidectomy and associated surgical procedures for facial anatomic subunit analysis
- Summary
- Less Invasive Superficial Musculoaponeurotic System Approaches in Rhytidectomy: How, When, and Why
- Key points
- Background
- Anatomy
- Technique
- Postoperative care
- Complications
- Nuances in Superficial Musculoaponeurotic System Rhytidectomy
- Key points
- Introduction
- Anatomy
- Patient selection
- Patient evaluation
- Marking incisions
- Anesthesia
- Surgical technique
- Superficial musculoaponeurotic system grafting
- Postoperative management
- Complications
- Summary
- Extended Superficial Musculoaponeurotic System Flap Rhytidectomy
- Key points
- Introduction
- The extended superficial musculoaponeurotic system flap rhytidectomy
- Surgical technique
- Summary
- From the Deep-Plane Rhytidectomy to the Vertical Platysma Advancement
- Key points
- Introduction
- Anatomy
- Evaluation
- Patient perspective
- Surgical procedure
- Aftercare
- Complications
- Summary
- A Novel Volumizing Extended Deep-Plane Facelift: Using Composite Flap Shifts to Volumize the Midface and Jawline
- Key points
- Introduction
- Midfacial aging: deep-plane composite shifts to volumize midface
- Volumizing extended deep-plane midface surgical technique
- Jawline Aging: Deep-Plane Composite Shifts to Volumize Jawline
- Incorporating Midline Platysmaplasty with Lateral Superficial Muscular Aponeurotic System Facelifting
- Key points
- Introduction
- Platysma anatomy
- Indications for platysmaplasty
- Patient assessment
- Operative technique
- Postoperative care
- Outcomes
- Discussion
- Summary
- Laser-Assisted Facelifting and Energy-Based Rejuvenation Techniques During Rhytidectomy
- Key points
- Aging demographics and facial rejuvenation procedures
- Introduction to thermoplastic rhytidectomy
- Technology-tissue interaction mediating thermoplastic rhytidectomy
- Technology of devices used for thermoplastic rhytidectomy/fibroliposculpting
- Surgical approaches and techniques for thermoplastic rhytidectomy involving thermal fibroliposculpting
- Nonexcisional and platysmal modifications (thermoplastic rhytidectomy II)
- Minimal excisional rhytidectomy with platysmal and superficial musculoaponeurotic system modifications (thermoplastic rhytidectomy III)
- Conventional excisional rhytidectomy face & neck (thermoplastic rhytidectomy IV)
- Conventional rhytidectomy and full facial resurfacing (thermoplastic rhytidectomy V)
- Patient safety and complications of thermoplastic rhytidectomy
- Summary
- Incorporating Fat Grafting with Facelift Surgery: When, How, and Where
- Key points
- Characteristics and causes of facial aging and indications for fat grafting
- How and where to perform autologous fat transfer
- Patient consultation
- Anesthesia, donor site preparation, and harvesting
- Processing
- Injection instruments and general concepts
- Lower eyelid and lateral canthus
- Superior orbital rim/glabella, forehead, temple, and upper eyelid
- Cheek and perioral area
- Mandible and chin
- Summary
- Local Anesthetic Facelift
- Key points
- Introduction
- Patient selection
- Levels of sedation in anesthesia
- Lidocaine
- Safe levels of local
- Local anesthetic toxicity
- Differences in local anesthetics
- Bupivacaine issues
- Methods of anesthesia
- Straight local anesthesia
- Nitrous oxide
- Local anesthesia with oral/intravenous sedation
- Music
- Oxygen
- Caution/safety protocols/monitoring
- Surgical technique used by the author for local facelifting
- Summary
- Approaches to Reducing Risk in Rhytidectomy Surgery
- Key points
- Introduction
- Understanding the problem
- Hematoma
- Infection
- Nerve injury
- Skin necrosis
- Scars
- Poorly designed incisions
- Hair loss
- Injury to the parotid gland
- Irregular contour
- The postoperative blues
- The unhappy patient
- Edition: 1
- Volume: 28-3
- Published: June 8, 2020
- Imprint: Elsevier
- No. of pages: 240
- Language: English
- Hardback ISBN: 9780323708395
- eBook ISBN: 9780323708401
AJ
Andrew A. Jacono
Affiliations and expertise
Section Head, Facial Plastic and Reconstructive Surgery at North Shore University Hospital Manhasset
Assistant Clinical Professor, Division of Facial Plastic and Reconstructive Surgery at The New York Eye and Ear Infirmary and Albert Einstein College of Medicine
Director of The New York Center for Facial Plastic & Laser Surgery in New York, New York