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Anatomy of Facelifting

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Oculofacial, Orbital, and Lacrimal Surgery

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Abstract

In facelifting, the surgeon must balance the desire to re-establish the contour of the lower facial skeleton against the critical need to ensure that the dynamic nature of facial soft tissue expressions remains “natural” and undisrupted. As a result, achieving a successful outcome in rhytidectomy requires a nuanced understanding of the underlying anatomy of the face, as well as the natural aging process of the face. All pertinent anatomy of the soft tissues of the face, including relevant cervical anatomy, will be thoroughly discussed in this chapter to provide the surgeon with the core foundation necessary to perform a successful rhytidectomy.

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Abbreviations

BMI:

Body mass index

MRL:

Mandibular retaining ligament

RSTLs:

Relaxed skin tension lines

SMAS:

Superficial musculoaponeurotic system

TFA:

Transverse facial artery

TPF:

Temporoparietal fascia

UV:

Ultraviolet

ZMM:

Zygomaticus major muscle

ZRL:

Zygomatic retaining ligament

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Author information

Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, University of Central Florida College of Medicine, Orlando, FL, USA

    Danny J. Soares

  2. Mesos Plastic and Laser Surgery, Lady Lake, FL, USA

    Danny J. Soares

  3. Department of Otolaryngology, Head and Neck Surgery, Emory University, Atlanta, GA, USA

    William E. Silver

  4. Atlanta Institute for Facial Aesthetic Surgery, Atlanta, GA, USA

    William E. Silver

Authors
  1. Danny J. Soares
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  2. William E. Silver
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Corresponding author

Correspondence to Danny J. Soares .

Editor information

Editors and Affiliations

  1. Eyelid and Facial Plastic and Reconstructive Surgery and MediSpa, Diseases and Surgery of the Orbit & Lacrimal System Neuro-ophthalmology, Glenview/Chicago, IL, USA

    Adam J. Cohen

  2. Oculoplastics, Orbital, and Cosmetic Facial Surgery, University of Wisconsin, Madison Department of Ophthalmology and Visual Sciences, Madison, WI, USA

    Cat Nguyen Burkat

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Soares, D.J., Silver, W.E. (2019). Anatomy of Facelifting. In: Cohen, A., Burkat, C. (eds) Oculofacial, Orbital, and Lacrimal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-14092-2_32

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  • DOI: https://doi.org/10.1007/978-3-030-14092-2_32

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14090-8

  • Online ISBN: 978-3-030-14092-2

  • eBook Packages: MedicineMedicine (R0)

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