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

Rod J. Rohrich, Paul D. Durand, Erez Dayan

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

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)
Pages (from-to)515-522
Number of pages8
JournalClinics in Plastic Surgery
Volume46
Issue number4
DOIs
StatePublished - Oct 2019

Keywords

  • Facelift
  • Fat compartments
  • Rhytidectomy
  • SMAS plication
  • SMAS stacking

ASJC Scopus subject areas

  • Surgery

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