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Vertical Vector Extended Deep Plan Facelifting - Catalog 351

Recorded On: 01/01/2019

Andrew A. Jacono, MD, performs the extended deep plane facelift he has developed with adjunctive procedures to rejuvenate the upper, middle and lower third of the face in this video. This facial rejuvenation procedure includes autologous fat grafting to the temple, periorbital region and midface as well as a modified lip lift and SMAS graft to the lips. A guiding principle in his technique is repositioning of deep facial to volumize the aging face and soft tissue sparing. The case contains a thorough review of the patient's preoperative appearance and surgical goals. Step-by-step procedure is demonstrated from incision to closure. Throughout the extended deep plane facelift procedure he explains the approach to the deep plane, release of the zygomatic, masseteric and mandibular cutaneous ligaments, elevation of the malar fat pad off the zygomaticus musculature, and vertical vectoring the deep plane flap to volumize the midface. The necklifting portion of the surgery highlights his technique of extending the deep plane dissection into the neck elevating an extensive platysma muscle flap inferiorly off the sternocleidomastoid muscle and medially. With a platysma myotomy, this flap is converted into a platysma sling supporting the submandibular gland and create a defined jawline contour. To further rejuvenate the midline neck his technique for opening the neck is described including sub-platysmal medial flap elevation, inter- and sub- platysmal fat removal, digastric treatment and hyoid fascia suspension of the midline platysma during corset platysmaplasty.

Andrew Jacono

MD

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Vertical Vector Extended Deep Plan Facelifitng - Andrew Jacono, MD
Recorded 01/01/2019
Recorded 01/01/2019 Andrew A. Jacono, MD, performs the extended deep plane facelift he has developed with adjunctive procedures to rejuvenate the upper, middle and lower third of the face in this video. This facial rejuvenation procedure includes autologous fat grafting to the temple, periorbital region and midface as well as a modified lip lift and SMAS graft to the lips. A guiding principle in his technique is repositioning of deep facial to volumize the aging face and soft tissue sparing. The case contains a thorough review of the patient's preoperative appearance and surgical goals. Step-by-step procedure is demonstrated from incision to closure. Throughout the extended deep plane facelift procedure he explains the approach to the deep plane, release of the zygomatic, masseteric and mandibular cutaneous ligaments, elevation of the malar fat pad off the zygomaticus musculature, and vertical vectoring the deep plane flap to volumize the midface. The necklifting portion of the surgery highlights his technique of extending the deep plane dissection into the neck elevating an extensive platysma muscle flap inferiorly off the sternocleidomastoid muscle and medially. With a platysma myotomy, this flap is converted into a platysma sling supporting the submandibular gland and create a defined jawline contour. To further rejuvenate the midline neck his technique for opening the neck is described including sub-platysmal medial flap elevation, inter- and sub- platysmal fat removal, digastric treatment and hyoid fascia suspension of the midline platysma during corset platysmaplasty.
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