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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39(01): 217712352023rbcp0823pt
DOI: 10.5935/2177-1235.2023RBCP0823-PT
Artigo Original

From Surface to Depth: Learning Curve in Extended Deep Facelift - My First 100 Cases

Artikel in mehreren Sprachen: português | English
LINCOLN GRAÇA NETO 
1   Clínica Privada, Curitiba, PR, Brasil.
,
ANA CLARA MINGUETTI GRAÇA 
2   PUC Pr, Curso de Medicina, Curitiba, PR, Brasil.
,
SUSANA PUGA RIBEIRO 
3   Faculdade Evangélica Mackenzie de Medicina, Curitiba, PR, Brasil.
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▪ ABSTRACT

Introduction:

Facial aging is a gradual, complex, and multifactorial process. It is the result of changes in the quality, volume, and positioning of tissues. Plastic surgeons have modified their approach to facial rejuvenation surgery, opting for the subaponeurotic plane (SMAS). The objective of this study is to analyze 100 cases of patients operated on using the deep SMAS technique, evaluating its applicability and effectiveness.

Method:

100 patients were evaluated, undergoing facial plastic surgery using the deep SMAS technique - “Deep Smas”, and followed up for 6 months. Patient satisfaction, number of complications, number of reoperations, risks, and advantages of the technique were observed.

Results:

100 patients were operated on over 3 years. Age ranged from 41 to 79 years, with 95% being female. The complications were 8 cases (8%) of injuries to branches of the facial nerve, of which 4 cases of zygomatic injury, 3 cases of mandibular injury, and 1 case of buccal injury; there was 1 case (1%) of post-auricular keloid; 1 case (1%) of hematoma. Regarding surgical revisions, there were 8 cases (8%) of surgical completion due to patient dissatisfaction. There were 15% of nerve injuries between the 1st and 40th surgery, 5% between the 41st and 80th, and no injuries between the 81st and 100th patient.

Conclusion:

Deep facial lifting or subSMAS has proven to be effective, providing good aesthetic results. It has a low recurrence rate and low morbidity rate; however, it requires a long learning curve.

Keywords:

Face - Plastic surgery procedures - Esthetics - Cosmetic techniques - Facial nerve - Learning curve

Institution: Clínica Privada de cirurgia Plástica, Curitiba, PR, Brazil.




Publikationsverlauf

Eingereicht: 05. Juni 2023

Angenommen: 20. August 2023

Artikel online veröffentlicht:
20. Mai 2025

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
LINCOLN GRAÇA NETO, ANA CLARA MINGUETTI GRAÇA, SUSANA PUGA RIBEIRO. Da superfície para a profundidade: Curva de aprendizado em lifting facial profundo estendido - meus primeiros 100 casos. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: 217712352023rbcp0823pt.
DOI: 10.5935/2177-1235.2023RBCP0823-PT
 

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