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document
Is there a difference ? A prospective study comparing lateral and standard SMAS face lifts with extended SMAS and composite rhytidectomies . Presented is a prospective study comparing limited SMAS ( lateral SMASectomy ) , conventional SMAS , extended SMAS , and composite rhytidectomies . Randomized patients received either a limited SMAS or conventional SMAS face lift on one side and an extended SMAS or composite rhytidectomy on the other . All procedures were performed at Manhattan Eye , Ear and Throat Hospital in accordance with their well-defined surgical descriptions . Postoperative courses were followed clinically for at least 1 year . Photographs were taken preoperatively and at 6 and 12 months postoperatively . Photographs were reviewed by three independent experienced face lift surgeons . The study comprises 21 patients , 20 women and 1 man , with a mean age of 59 years ( range 47 to 70 years ) . Nineteen patients underwent primary rhytidectomies ; two underwent secondary face lifts . For the first 12 patients , each had an extended SMAS procedure performed on one side ; on the other , 7 had a conventional SMAS and 5 had a limited SMAS ( lateral SMASectomy ) face lift . In the last 9 patients , a conventional SMAS was carried out on one side in 8 , a limited SMAS in 1 , and on the opposite side , a composite rhytidectomy was performed . Complications were few . Temporary weakness of the buccal branch of the facial nerve occurred in 2 patients on the side of the more extensive surgery . On the operating table at completion of the surgery , there was more improvement in reversal of midfacial ptosis and flattening of the nasolabial folds with both extended SMAS and composite rhytidectomies . The composite flap had the most dramatic effect on the nasolabial folds and oral commissure . After 24 hours , once swelling developed and facial motion became reactivated , the noticeable differences in the midface and nasolabial folds were lost . No discernible differences in facial halves were noted again . Differences between facial sides on the 6- and 12-month postoperative photographs were not detectable . We conclude that for routine facial plasty , comparable clinical outcomes are obtained at 6 months and 1 year with limited ( lateral SMASectomy ) and conventional SMAS face lifts compared with extended SMAS and composite rhytidectomies . All procedures are lacking in their improvement of midface ptosis and the nasolabial folds . The increased surgical risks , morbidity , and convalescence associated with those more extensive procedures do not seem to be warranted in the average patient .
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Intervention_Physical
lateral and standard SMAS face lifts
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Intervention_Physical
extended SMAS
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Intervention_Physical
composite rhytidectomies .
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Intervention_Physical
limited SMAS ( lateral SMASectomy ) , conventional SMAS , extended SMAS
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Intervention_Physical
composite rhytidectomies .
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Intervention_Physical
limited SMAS
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Intervention_Physical
conventional SMAS
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Intervention_Physical
extended SMAS
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Intervention_Physical
composite rhytidectomy
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Intervention_Physical
primary rhytidectomies ;
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Intervention_Physical
secondary face lifts .
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Intervention_Physical
conventional SMAS
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Intervention_Physical
limited SMAS
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Intervention_Physical
conventional SMAS
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Intervention_Physical
limited SMAS
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Intervention_Physical
composite rhytidectomy
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Intervention_Physical
extended SMAS
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Intervention_Physical
composite rhytidectomies .
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Intervention_Physical
extended SMAS
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Participant_Sample-size
21
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Participant_Sample-size
20
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Participant_Sex
women
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Participant_Sample-size
1
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Participant_Sex
man
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Participant_Age
mean age of 59 years ( range 47 to 70 years )