Face and Neck Lifting After Weight Loss

被引:6
|
作者
Waltzman, Joshua T. [1 ]
Zins, James E. [2 ]
Couto, Rafael A. [2 ]
机构
[1] Waltzman Plast & Reconstruct Surg, 3828 Schaufele Ave,360, Long Beach, CA 90808 USA
[2] Cleveland Clin, Dermatol & Plast Surg Inst, Dept Plast Surg, 9500 Euclid Ave,A60, Cleveland, OH 44195 USA
关键词
Facelift; SMAS; Platysmaplasty; Fat transfer; Massive weight loss; RETAINING LIGAMENTS; FACIAL-NERVE; SURGERY; REJUVENATION; EVOLUTION; HEMATOMA; SAFE;
D O I
10.1016/j.cps.2018.08.012
中图分类号
R61 [外科手术学];
学科分类号
摘要
After massive weight loss, deflation of the tissues and loss of skin elasticity in the face and neck can result in the appearance of accelerated facial aging. Surgical facial rejuvenation can be successfully performed with several modifications. Proper preoperative counseling and expectation management regarding staged or ancillary procedures is recommended. Wide undermining of the face and neck, and extended postauricular incisions are required to allow for mobilization of excess skin and access to the mobile superficial musculoaponeurotic system (SMAS). Fat transfer into the deep malar compartment for midface volumizing is helpful. Treatment of the SMAS and platysma are universally necessary.
引用
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页码:105 / +
页数:11
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