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 aponeuronic system, and malar fat can be re-positioned to volumize the midface and gonial angle.
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