Face lift：私の行っている方法

摘要

As they age, the skin and subcutaneous fat lose firmness and sag vertically due to gravity in the upright position. The retaining ligaments anchor the facial skin and subcutaneous fat to the underlying solid structure. Therefore, the skin over the ligaments that resists sagging develops indentation, while the skin adjacent to the ligaments develops bulging. The jowl deformity is sagging soft tissue between the masseteric ligament and mandibular ligament. Traction of the skin or SMAS in the preauricular regionfails to correct the jowl deformity without releasing the masseteric ligament. It has been described that the release of the retaining ligaments and traction of SMAS and divided ligaments are effective in improving aging facial contours. Stretching of the facial skin develops in two or three dimensions. The lifting procedure, which is one vector of pull, is not sufficient for perfect correction of the aging deformity. Liposuction and/or fat injection should be combined with facelift for greater improvement. This paper presents my current facelift technique.A skin incision is placed in the preauricular and temporal area. The SMAS is incised in front of the parotid gland. En bloc dissection of the SMAS and skin is performed over the masseter until the masseteric ligaments and zygomatic ligaments are completely released. The lateral margin of the SMAS and zygomatic ligament are anchored to the parotid fascia and temporal fascia, liposuction and/or fat injection are used for bulky jowls, submental fat deposits, deep nasolabial folds, and deep marionette lines.