Incorporating Facial Retaining Ligament Release and Composite Flap Shifts to Maximize Midface, Jawline and Neck Rejuvenation
Extended Deep Plane Facelift Technique
Dr. Jacono was a contributing author in the Clinics in Plastic Surgery – Lower Facial Rejuvenation: A Multispecialty Approach.
Dr. Jacono’s chapter titled Extended Deep Plane Facelift – Incorporating Facial Retaining Ligament Release and Composite Flap Shifts to Maximize Midface, Jawline and Neck Rejuvenation discusses the deep plane facelift procedure inside and out.
In this chapter, Dr. Jacono discusses how:
- Deep plane face-lifting targets the mobile medical superficial muscular aponeurotic system (SMAS), bypassing the lateral fixed superficial muscular aponeurotic system dissected in these techniques.
- Releasing facial and cervical retaining ligaments allows greater re-draping of the superficial muscular aponeurotic system and platysma during rhytidectomy.
- Extending the deep plane flap inferiorly into the neck and incorporating a platysmal myotomy creates a platysma hammock to define the mandibular contour and support the submandibular gland.
- Deep plane composite flaps of skin, the superficial muscular aponeurotic system, and malar fat can be re-positioned to volumize the midface and gonial angle.
Extended Deep Plane Facelift Before and After Patient: This wonderful 57-year-old patient was unhappy with her facial aging. I performed an extended deep plane facelift, a neck lift, and platysmaplasty with neck liposuction which gave her back a crisp yet smooth and natural-looking jawline. She was excited about her results and extremely happy that she had her scars that were already almost gone. Even with her hair pulled back into a ponytail, you will not be able to see any visible scarring.
Extended Deep Plane Facelift Before and After Patient: This amazing 75-year-old patient of mine is just 6 months out following her facial plastic surgery. This patient was concerned with her aging and did not like the loose hanging neck skin or her jawline. To reverse this, I performed an extended deep plane facelift procedure combined with a neck lift, platysmaplasty, and a lip lift. The lip lift is the icing on the cake as it shortened the distance between the base of the nose and the top of her upper lip. This brings the aesthetic balance of the face together which included a gorgeous jawline and smooth neck. She looks rejuvenated and refreshed, naturally.
Extended Deep Plane Facelift Before and After Patient: This beautiful 58-year-old patient of mine at 1 year post op visit and I think she looks great! I performed an extended deep plane facelift combined with a platysmaplasty, temporal lift, and a lip lift. The deep plane technique allows me to lift the jowls and fallen cheeks to lift them back to their natural, youthful appearance. The platysmaplasty was performed to treat her visible vertical neck bands, while the temporal lift opened her eyes, so she looked vibrant and alive. She loves her results!
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