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The trifurcated SMAS flap: Three-part segmentation of the conventional flap for improved results in the midface, cheek, and neck

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Abstract

While SMAS surgery revolutionized facelift procedures, the single flap created by conventional dissections suffers the drawback that it can only be advanced in one direction and sutured in place under uniform tension. Division of the flap into three segments overcomes this problem and allows independent pull to be applied in different directions to the upper midface, cheek, and neck.

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References

  1. Aston SJ: Platysma-SMAS cervicofascial rhytidectomy. Clin Plast Surg 40:507, 1983

    Google Scholar 

  2. Baker TJ, Gordon HL: Surgical Rejuvenation of the Face. St. Louis: C.V. Mosby, 1986

    Google Scholar 

  3. Connell BF: Contouring the neck in rhytidectomy by lipectomy and a muscle sling. Plast Reconstr Surg 47:534, 1977

    Google Scholar 

  4. Connell BE: Neck contour deformities: the art, engineering, anatomic diagnosis, architectural planning and aesthetics of surgical correction. Clin Plast Surg 14:4, 1987

    Google Scholar 

  5. Connell BE: Facial Rejuvenation. The Artistry of Reconstructive Surgery. St. Louis: C.V. Mosby, 1987

    Google Scholar 

  6. Connell BF, Lambros VS, Marten TJ: Facelift Surgery for the Active Man. Instructional Courses. St Louis: C.V. Mosby, 1991, vol 4 pp 11–26

    Google Scholar 

  7. Connell BF, Marten TJ: Facelift. Mastery of Plastic and Reconstructive Surgery. Boston: Little, Brown, 1994

    Google Scholar 

  8. Connell BF, Marten TJ: Deep Layer Techniques In Cervicofacial Rejuvenation. Deep Facelifting Techniques. New York: Thieme Medical Publishers, 1994, pp 161–190

    Google Scholar 

  9. Fumas D: The retaining ligaments of the cheek. Plast Reconstr Surg 83:1, 1989

    Google Scholar 

  10. Hamra ST: The deep plane rhytidectomy. Plast Reconstr Surg 86:53, 1990

    Google Scholar 

  11. Jost A, Lamouche G: SMAS in rhytidectomy. Aesth Plast Surg 6:69, 1982

    Google Scholar 

  12. Kaye BL: Facial Rejuvenative Surgery. Philadelphia: J.P. Lippincott, 1987, p 35

    Google Scholar 

  13. Lambros VS: Fat contouring in the neck and face. Clin Plast Surg 19:401, 1992

    Google Scholar 

  14. Owlsey JQ: Platysma fascial rhytidectomy. Plast Reconstr Surg 60:843, 1977

    Google Scholar 

  15. Randall P, Skiles MS: The “SMAS sling”: an additional fixation in face lift surgery. Ann Plas Surg 12:1, 1984

    Google Scholar 

  16. Rees TD: Aesthetic Plastic Surgery. Philadelphia: W.B. Saunders, 1980, p 634

    Google Scholar 

  17. Skoog TG: Plastic Surgery: New Methods and Refinements. Philadelphia: W.B. Saunders, 1974

    Google Scholar 

  18. Stuzin JM, Baker TJ, Gordon HL: The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. Plast Reconstr Surg 89:3, 1992

    Google Scholar 

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Connell, B.F., Marten, T.J. The trifurcated SMAS flap: Three-part segmentation of the conventional flap for improved results in the midface, cheek, and neck. Aesth. Plast. Surg. 19, 415–420 (1995). https://doi.org/10.1007/BF00453874

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  • DOI: https://doi.org/10.1007/BF00453874

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