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Follow on Google News | Deep Plane Rhytidectomy – Harley Body ClinicOne of the most commonly performed plastic surgery procedures in the region of head and neck is Rhytidectomy or also known as facelift, the superficial musculoaponeurotic system (SMAS) procedure.
The modification of standard facelift techniques has lead to development of this procedure of deep plane rhytidectomy which was done to correct the facial changes caused by the aging due to ptosis of midface structures and this procedure aims to correct the deep nasolabial folds where other techniques do not address these problems adequately, excluding the specific mid-face procedure. The surgeon must be careful while selecting the ideal candidate for this procedure, as the mail goal is to obtain a pleasing aesthetic result which should appears to be natural providing no evidence of an operation and If the patients are carefully selected, then this procedure can be safely performed with high level of satisfaction. Problem Problems such as SMAS imbrication or plication rhytidectomy are easily treated by the traditional approaches in the lower face which is caused by the aging such as in the platysmal banding in the neck or in the jowling of the lower face, but however, this procedure is limited as it adequately does not treat the changes due to deep melolabial fold or ptosis of midfacial structures, but the technique of deep plane rhytidectomy successfully treats the aging changes in all these areas. Why Medical History Is Necessary To Evaluated? Before treating a patient, one must obtain the medical history to detect the health. The patient should be in good health prior to undergoing this procedure which takes up to 3 to 4 hours. Bleeding tendencies or any use of medications which may cause interference in bleeding abnormalities should be noted down as a part of medical history. Anti-coagulating medications should be avoided at any cost to prevent intraoperative bleeding problems. For more details please visit at https://www.harleybodyclinic.co.uk . The surgeon must evaluate patient's goals and expectations and all these information must be obtained in the initial consultation where this should be reviewed prior to surgery to prevent any miscommunication. The patients should have a realistic goal which can be met by the surgeons or any other cosmetic procedures. The patients should be informed about the risk and different options available for treating the facial changes before giving their consent. There is no such risk in the facelift surgery, but this procedure has a higher risk of injury to branches to facial nerves and it at times takes slightly longer recovery period to heal. What Are The Indications For This Procedure? The ideal candidate for deep plane rhytidectomy should have a significant facial change due to aging process in the region of melolabial fold and mid face. Anatomy The face and neck is enveloped by the mimetic muscles and a layer of muscle and connective tissue that overlies the parotidomasseteric fascia, which is the SMAS, where the branches of facial nerve leave the parotid gland to pass medially towards the mid facial musculature beneath the parotidomasseteric fascia. To avoid any kind of injury to the branches of the facial nerve, then the dissection in the lower face should remain below the SMAS and above the parotidomasseteric fascia. End
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