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

Rod J Rohrich; Paul D Durand; Erez Dayan

doi:10.1016/j.cps.2019.06.001

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

Clin Plast Surg. 2019 Oct;46(4):515-522. doi: 10.1016/j.cps.2019.06.001. Epub 2019 Jul 15.

Authors

Rod J Rohrich¹, Paul D Durand², Erez Dayan¹

Affiliations

¹ Dallas Plastic Surgery Institute, 9101 North Central Expressway, Suite 600, Dallas, TX 75231, USA.
² Dallas Plastic Surgery Institute, 9101 North Central Expressway, Suite 600, Dallas, TX 75231, USA. Electronic address: pdurand85@gmail.com.

PMID: 31514804
DOI: 10.1016/j.cps.2019.06.001

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.

Keywords: Facelift; Fat compartments; Rhytidectomy; SMAS plication; SMAS stacking.

Publication types

Review

MeSH terms

Adipose Tissue / surgery*
Humans
Preoperative Care / methods*
Rejuvenation
Rhytidoplasty / methods*
Superficial Musculoaponeurotic System / surgery*