Ten Tips for a Reliable and Predictable Deep Plane Facial Rhytidectomy

  • David E. E. Holck
  • Jill A. Foster
  • Kevin A. Kalwerisky
  • O. Bailey Robertson


Facial rhytidectomy surgery is a reconstructive/cosmetic procedure to restore anatomic changes to the lower third of the aging face and neck. It is a surgery of planes. Understanding safe dissection planes allows the surgeon to maximize his or her results in a reliable fashion.1,2 Facial rhytidectomy may also be considered a surgery of opportunity and compromise in which soft tissue dissection and redraping take advantage of the facial blood supply while predictable and desirable wound healing provide the rejuvenated appearance. Mastery of facial anatomy and the relationships of the superficial and deep facial layers, muscles, nerves, and vasculature are of paramount importance in performing rhytidectomy surgery safely, effectively, and with confidence.3,4 We have noted 10 areas in which attention to detail offers a predictable and reliable rhytidectomy procedure and avoids some of the stigmata of rhytidectomy surgery.5


Facial Nerve Inferior Border Zygomatic Arch Inferior Lobul Aging Face 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • David E. E. Holck
    • 1
    • 2
  • Jill A. Foster
    • 3
  • Kevin A. Kalwerisky
    • 4
  • O. Bailey Robertson
    • 5
  1. 1.Department of OphthalmologyThe University of Texas at San Antonio, Health Sciences CenterUSA
  2. 2.Department of OphthalmologyOculofacial Plastics and Orbital Service, Wilford Hall Medical CenterSan AntonioUSA
  3. 3.The Eye Center of Columbus, Department of OphthalmologyThe Ohio State UniversityColumbusUSA
  4. 4.Health Sciences Center, Wilford Hall Medical Center, Department of OphthalmologyOculofacial Plastic Surgery, The University of Texas at San AntonioSan AntonioUSA
  5. 5.Department of Oral and Maxillofacial SurgeryFacial Plastics Services, Wilford Hall Medical CenterSan AntonioUSA

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