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Plastic and Reconstructive Surgery Articles 1996 Ramirez
Journal of the American Society of Plastic Surgeons
Plastic and Reconstructive Surgery
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1996 Abstract

 

 

9601-45 Ramirez
Ramirez OM.
Classification of facial rejuvenation techniques based on the subperiosteal approach and ancillary procedures.
Plast Reconstr Surg. 1996 Jan;97(1):45-55. PMID: 8532805

Johns Hopkins University School of Medicine, Baltimore, Md., USA.

Subperiosteal face lift is a new way of doing facial rejuvenation. There are
multiple variations of technique described by several authors. Each variable
introduced to the technique may be relevant to the final outcome and potential
safety or complications. The most important variables are extent of dissection,
combination of the subperiosteal dissection with other planes of dissection,
suspension methods, and use of ancillary techniques. A systematic classification
of techniques in which a lesser or greater subperiosteal dissection is made has
been devised. Each technique is individualized and differentiated from seemingly
alike techniques. A list of ancillary techniques is included. This
classification is useful for facial evaluation and preoperative planning. A
surgical proposal is made individualizing each patient's facial aesthetics
rather than giving one type of operation to every patient. This classification
is also useful for comparison and analysis of surgical results obtained with
different techniques. It has the versatility of adding new variations and any
ancillary technique adapted to the surgeon's idiosyncrasy. It can be used as a
model to develop a classification of traditional face lift techniques.

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