The Lift-and-Fill Face-Lift: Superficial Musculoaponeurotic System Manipulation with Fat Compartment Augmentation

Rodney J Rohrich, Paul D. Durand, Erez Dayan

Research output: Contribution to journalReview article

Abstract

The focus of modern face-lifting has shifted from isolated superficial musculoaponeurotic system (SMAS) manipulation to providing necessary volume restoration and overall facial shaping. Volume deflation is a major component of facial aging but cannot be corrected solely by rhytidectomy. This article presents a detailed overview of facial fat compartment anatomy and examines its role in facial rejuvenation. A good understanding of facial fat compartment anatomy cannot be overemphasized. In combination with methodical preoperative visual analysis, this allows surgeons to target the specific areas that have undergone deflation with fat grafting before selective SMAS manipulation.

Original languageEnglish (US)
JournalClinics in Plastic Surgery
DOIs
StatePublished - Jan 1 2019

Keywords

  • Face-lift
  • Fat compartments
  • Rhytidectomy
  • SMAS plication
  • SMAS stacking

ASJC Scopus subject areas

  • Surgery

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