Use the technique of three layers suspension to lift the mid-low face

Abstract

Objective To explore an ideal surgical method for mid-low face lifting. Methods In this procedure, the first surgical step was subcutaneous undermining that was performed through the incision along temporal hairline, anteriorear, and mastoideae. It extended distally beyond the furthest skin fold and along the mandibular border or the midline of the neck if nacessary. Then three layers suspension were performed, which included three procedures: first, SMAS was purse string sutured in certain direction; secondly, the malar fat pad was suspended to tow directions backward and upward and anchored in the periosteum of zygoma and SMAS too; lastly, through traction suture of reducing tension step-by-step, lots of the tension was relieved from the incision; at the same time, new retaining ligaments between flap and SMAS were reestablished. And redundant skin was removed in incision at the end of the procedure. Results A total of 22 cases received this operation. 16 cases were followed up from 3 months to 24 months after operation. The results of operation were divided into three degrees: excellent, acceptable and poor; and those were evaluated by patients themselves. 14 cases obtained excellent result (87.5%) , 2 cases regarded that their results were acceptable (12.5%). The total satisfactory rate was 100%. None serious complication occurred in those cases except some slight complications, such as local edema, skin numbness and small hematoma which relieved in 3 to 6 months after operation. Scar was inconspicuous. Conclusions This technique can correct the posies of lower tow-third face better, especially for mitigating the nasolabial fold and enhancing the elastic of face skin. Simultaneously, it is an effective, safe and simple technique. Key words: Face lift; Superficial musculoaponeurotic system; Malar fat pad