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Aesthetic Surgery Journal

The Volumetric Face Lift

Richard Ellenbogen, MD; Anthony Youn, MD; Dan Yamini, MD; Steven Svehlak, MD

Background:  Many face lift techniques that manipulate the superficial musculoaponeurotic system (SMAS) in order to correct a perceived descent of deeper facial structures have been presented. However, such procedures can result in insufficient volume restoration, which may be correctable only by actual fat replacement.

Objective:  We describe a face lift technique that combines volume restoration by fat grafting and results in removal of descended fat below the mandible as well as conservative skin redraping.

Methods:  A short-scar incision was utilized and limited flap dissection was performed in the subcutaneous plane. Direct defatting of the fat superficial to the platysma and inferior to the mandibular border was performed. Submental fat near the midline that could not be excised was removed by lipoplasty under direct vision. The platysma was treated only if prominent . . . [Full Text of this Article]