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Peter A. Adamson, MD; Ravi Dahiya, MD; Jason Litner, MD

Arch Facial Plast Surg. 2007;9(1):9-11.

Objective  To determine if there is any observable difference in the midface of patients who have undergone a deep-plane face-lift vs a standard superficial musculoaponeurotic system (SMAS) plication face-lift.

Design  Preoperative and postoperative photographs of 25 patients undergoing each type of face-lift were rated by 3 independent and blinded observers. A 7-point scale was used to grade improvement in 5 areas on the face and neck: malar eminence, melolabial fold, jowls, cervicomental angle, and anterior neck banding.

Results  All 3 independent observers rated the patients who underwent a deep-plane face-lift as having a significantly better result (P<.01) in 2 of the measured locations; the observed improvements in the deep-plane group were twice those in the SMAS plication group.

Conclusion  In our study of 50 patients, the deep-plane face-lift proved to have results that were clinically and statistically better than those of the SMASapplication face-lift in both the midface and the neck.

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, University of Toronto, Toronto, Ontario (Drs Adamson and Litner); and Potomac Facial Plastic Surgery, Chevy Chase, Md (Dr Dahiya).