Abstract
After massive weight loss (MWL), the patient’s face has more sagging skin than would be expected for the aging process alone. Accordingly, technique needs to include more skin resection than otherwise accustomed to. Facing the prospect of multiple operations, the body contouring patient with a sagging face should be offered an efficient, relatively low-cost facelift alternative. The Hurwitz variation of the MACs’ lift embraces the vertical superficial fascial lift modified by the use of double-armed barbed sutures that extend to the platysma muscle. The incisions are continued along the temple hairline and the mastoid scalp. Further incision extension to the lateral brow with increased undermining and skin excision and suspension results in substantial mid cheek elevation and reduces laxity in the lateral face, lateral canthus, and brow. This approach has been applied with success to over 300 patients over the past 2.5 years. A retrospective review, including an analysis of pre- and postoperative 3D imaging, demonstrates improve results with the extended vertical operation.
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6.1 Electronic Supplementary Material
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Vertical facelift (MP4 566502 kb)
Vertical facelift liposculpture (MP4 566502 kb)
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Hurwitz, D. (2016). Facelift in the Body Contouring Patient. In: Comprehensive Body Contouring. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46976-7_6
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DOI: https://doi.org/10.1007/978-3-662-46976-7_6
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