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Journal articles on the topic 'SMAS-lifting'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Verbo, E. V., O. A. Andryushchenko, A. S. Kraytor, N. E. Manturova, and M. I. Galiy. "Modified SMAS lifting with zigzag cutting of SMAS." Plastic Surgery and Aesthetic Medicine, no. 2 (May 12, 2025): 18. https://doi.org/10.17116/plast.hirurgia202502118.

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Objective. To ensure synergy of high PMAS mobilization and facial tissue mobilization in deep plane by preserving the main lymphatic collectors of lateral surface of the face in combination with effective fixation of SMAS flap to deep temporal fascia. Material and methods. A feature of original method is zigzag cutting of SMAS with further mobilization towards modiolus, lifting and fixation to deep temporal fascia. Ther were 35 patients after this surgery. In this case, the main lymphatic drainage pathways of lateral surface of the face remain intact. This is a predictor of fast rehabilitation

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2

Paranque, A. R., and P. Levan. "Lifting cervico-jugal avec lambeau de SMAS." Revue de Stomatologie et de Chirurgie Maxillo-faciale 106, no. 1 (2005): 33–37. http://dx.doi.org/10.1016/s0035-1768(05)85799-7.

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3

Heli de Campos, Joao, Noemi Borgas de Góes Cavalcanti, and Daniela Martins Souza. "DESMISTIFICANDO A TÉCNICA DO LIFTING TEMPORAL SUBDÉRMICO - PROCEDIMENTO MINIMAMENTE INVASIVO COM FIOS NÃO ABSORVÍVEIS." Aesthetic Orofacial Science 3, no. 2 (2022): 53–62. http://dx.doi.org/10.51670/aos.v3i2.108.

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Objetivo: abordar considerações técnicas dos mecanismos rejuvenescedores do lifting facial fechado proporcionado por fios de nylon subdérmicos para a dermo elevação não cirúrgica dos tecidos faciais. Metodologia: A revisão da literatura, focou-se em artigos dos últimos dez anos, porém, artigos de autores renomados e fundamentadores da técnica de lifting temporal subdérmico fechado foram usados. A estratégia de busca dentro da plataforma PubMed usou os seguintes termos: Lifting facial, Lifting temporal, Aesthetic wire. Foi explorado títulos e resumos de 992 artigos de 1953 a 2022. Ao analisar o

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4

Sánchez Knupflemacher, Daniel, Xavier Antonio Sánchez García, Gabriel Enrique Torres Mendoza, Aline Salgado Sanchez, Celina Nicole Angulo Salgado, and Esaul Marroquín Leon. "Tendencias actuales del lifting facial profundo: revisión de técnicas quirúrgicas." Revista Científica de Salud y Desarrollo Humano 6, no. 2 (2025): 815–28. https://doi.org/10.61368/r.s.d.h.v6i2.646.

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Introducido por Hamra en los años 90, el lifting facial profundo ha evolucionado como una de las técnicas más eficaces en rejuvenecimiento quirúrgico, ofreciendo resultados más duraderos y naturales frente a los abordajes convencionales [1]. Su adopción se ha potenciado por avances en anatomía quirúrgica y refinamiento técnico [2]. Analizar críticamente y comparar las principales técnicas de lifting facial profundo (deep plane, high SMAS, SMASectomy, técnicas compuestas), evaluando sus indicaciones, resultados clínicos y complicaciones asociadas [3]. Revisión sistemática de literatura en PubMe

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5

Chaves Junior, Edimar, Fernanda de Melo Garcia, Kassem Mohamed Barça Saidah, et al. "O uso dos procedimentos estéticos: abordando o lifting facial e o rejuvenescimento facial." STUDIES IN HEALTH SCIENCES 5, no. 2 (2024): e4711. http://dx.doi.org/10.54022/shsv5n2-025.

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A cirurgia estética facial é um campo emergente globalmente. Os procedimentos de lifting facial focam principalmente na manipulação do sistema músculo-aponeurótico superficial (SMAS), um grupo de músculos da face lateral. Eles visam ressuspender, reposicionar e liberar estruturas faciais subjacentes, além de remover o excesso de pele para melhorar a aparência facial. Existem diferentes tipos de facelifts, incluindo o subcutâneo com manipulação do SMAS, permitindo a modelagem dos tecidos moles profundos. Essa técnica pode envolver SMAS-ectomia, plicatura do SMAS e criação de retalho de SMAS. O

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Chang, Jingyun. "The Applications of Shape Memory Alloy." Highlights in Science, Engineering and Technology 73 (November 29, 2023): 264–67. http://dx.doi.org/10.54097/hset.v73i.12984.

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With the rapid development of the aerospace industry, more stringent new requirements have been put forward for new materials. A large number of intelligent materials have emerged. The most noteworthy among them are shape memory alloys (SMAs). Therefore, the number of SMAs used for aerospace research has increased significantly. It is very necessary to analyze these works. This article focuses a specific kind of active materials called SMAs, especially for the applications of this material in the aerospace field. SMAs are able to ‘memorise’ or restore their previous form when facing thermal, t

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Olate, Sergio, and Márcio De Moraes. "SMAS Plication in Superficial Plane & Bichectomy in Facial Lifting." International Journal of Medical and Surgical Sciences 1, no. 4 (2018): 289–92. http://dx.doi.org/10.32457/ijmss.2014.035.

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The facial lifting show a favorable evolution in the last years; some technical modifications and the mixture with another procedures can make a more favorable results, with predictability and low morbidity. The aim of this paper is to show a mixture of two surgical techniques to obtain complimentary results in facial lifting. The technique of facial lifting with SMAS plication and bichectomy are frequently used in facial plastic surgery; the combined work of both procedures allow a reduction in the adipose tissue in the lateral and middle side of the buccal area, showing better esthetical res

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Xiao, Jun, Mandi Zhou, Chu Zhang, Yongjia Tan, and Hongwei Shi. "Analysis of the Effect of Zygomatic Fat Pad Lifting Combined with Ultra-High SMAS Technique on the Improvement of Nasolabial Folds (Lower Eyelid Margin Incision)." Dermatological Health 1, no. 2 (2023): 1–7. http://dx.doi.org/10.26689/dh.v1i2.5234.

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This paper aims to explore the effect of zygomatic fat pad lifting combined with ultra-high superficial muscularaponeurotic system (SMAS) technique on the improvement of nasolabial folds. From December 2021 to June 2022, 40 patients with facial sagging were selected in our hospital to perform zygomatic fat pad lifting combined with ultra-high SMAS technology for large facelift surgery. Combined with lower eyelid incision and zygomatic fat pad degloving, the middle and lower face lift surgery, the improvement of the nasolabial fold, and the reduction of the apple cheeks were evaluated to assess

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Rogazhinskas, P. V., B. B. Dobryakov, N. V. Ermakovich, and S. V. Sidorov. "The usage of Nd:YAG laser in SMAS lifting of the middle and lower third of the face." Issues of Reconstructive and Plastic Surgery 25, no. 3 (2022): 52–59. http://dx.doi.org/10.52581/1814-1471/82/07.

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The purpose of the work is to improve the quality of vertical face lifting by introducing into surgical practice a laser system of the Fotona SP Spectro model with a Nd:YAG laser source. The technique of intraoperative exposure of the Fotona SP Spectro laser system with an Nd:YAG laser source to the superficial muscular-aponeurotic system (SMAS) of the middle and lower third of the face is proposed. The authors conclude that the use of Nd:YAG laser in a single procedure shortens the rehabilitation period and significantly increases the rejuvenation effect in cases with hypermobile and thinned

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Slyusaryev, I. Yu, N. I. Slyusaryev та P. А. Denischuk. "Тhree–level face lifting". Klinicheskaia khirurgiia 85, № 4 (2018): 38–40. http://dx.doi.org/10.26779/2522-1396.2018.04.38.

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Objective. To follow–up and to compare a quality of stabilization of covering tissues in middle zone of the face, using ultrasonographic investigations, in long time after performance of a three–level face lifting and classical SMAS lifting. Маterials and methods. In the investigation 40 women–patients, ageing 42–70 yrs old, took part, in whom a face lifting was performed 5 – 8 yrs before. Investigation group consisted of 20 women, to whom three–level face lifting was performed, and a control one – 20 women, in whom face lifting was done in accordance to classic method. Results. Me

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Marten, Timothy, and Dino Elyassnia. "High SMAS Facelift: Combined Single Flap Lifting of the Midface, Cheek, and Jawline." Facial Plastic Surgery 38, no. 06 (2022): 593–612. http://dx.doi.org/10.1055/s-0042-1757757.

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AbstractThe traditional deep plane and “low” cheek superficial musculoaponeurotic system (SMAS) flaps elevated below the zygomatic arch suffer the drawback that they cannot, by design, exert an effect on tissues of the midface and infra-orbital region. Traditional deep plane and low designs target the lower cheek and jowl only and produce no improvement in the upper anterior cheek and “midface” area. Planning the flap “higher,” along the zygomatic arch, and extending the dissection medially in an “extended SMAS” fashion to release and mobilize midface tissue, overcomes this problem and allows

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De Oliveira, Terezinha Rezende Carvalho, Roberto Fernandes Pacheco, and Álida Lúcia Cardoso. "LEVANTAMENTO NÃO CIRÚRGICO DO SISTEMA MÚSCULO-APONEURÓTICO SUPERFICIAL." Aesthetic Orofacial Science 4, no. 1 (2023): 16–23. http://dx.doi.org/10.51670/aos.v4i1.139.

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Objetivo: realizar e apresentar a técnica de lifting facial não cirúrgico por meio da elevação do sistema músculo-aponeurótico superficial (SMAS) ancorado no músculo temporal, desenvolvida por Sedev. Métodos: os artigos foram selecionados do ano 1976 a 2022, obtidos nas bases científicas Lilacs, Pubmed e Scielo. A suspenção do SMAS, devolve o posicionamento anatômico das estruturas da face e músculo platisma. Para isso, foram elaborados instrumentos específicos de pontas arredondadas e tamanhos ajustados para descolar os tecidos e abrir caminho de passagem do fio de nylon trançado, não reabsor

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13

Wang, Jingang, Lining Xie, Ning Zhang, et al. "Temporal Incision Super-high Superficial Musculoaponeurotic System Face Lift for Chinese Patients." Plastic and Reconstructive Surgery - Global Open 12, no. 12 (2024): e6363. https://doi.org/10.1097/gox.0000000000006363.

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Background: This investigation assessed patient satisfaction with a temporal incision technique using a super-high superficial musculoaponeurotic system (SMAS) flap for midface lifting in a Chinese patient cohort. Methods: From July 2019 to July 2023, 95 patients underwent midface lifts via a temporal incision approach at our institution. The extent of SMAS flap dissection spanned 2 cm above the outer canthus, to the lower margin of the zygomatic arch inferiorly, and medially to the zygomaticus major muscle. The technique involved anchoring the elevated SMAS flap to the deep temporal fascia to

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14

Ballester, Carmen, Dorin Copaci, Janeth Arias, Luis Moreno, and Dolores Blanco. "Hoist-Based Shape Memory Alloy Actuator with Multiple Wires for High-Displacement Applications." Actuators 12, no. 4 (2023): 159. http://dx.doi.org/10.3390/act12040159.

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Shape memory alloys (SMAs) are smart materials that change their crystalline structures when subjected to heat or tension, resulting in a macroscopic deformation. When applied to actuators, SMAs present a remarkable load–weight ratio and flexibility, making them suitable for diverse applications. However, challenges such as their energy consumption, nonlinear control, and low displacement must be considered. This paper presents a new strategy for improving the total displacement while adding neither supplementary SMA wires nor complex external devices. In addition, a novel control strategy is

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15

Garcia, Isabel Priscilla. "EFICÁCIA DO ULTRASSOM MICROFOCADO PONTUAL NO REJUVENESCIMENTO E REPOSICIONAMENTO FACIAL: RELATO DE CASO." Revista ft 29, no. 140 (2024): 06–07. http://dx.doi.org/10.69849/revistaft/ni10202411252106.

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Skin aging is characterized by several changes in various tissues, including loss of collagen, redistribution of subcutaneous fat, bone resorption and subsequent remodeling of the jaws, and weakening of the Superficial Muscular Aponeurotic System (SMAS). HIFU microfocused ultrasound is described as a non-invasive treatment option for facial sagging and aging treatment, this technique is capable of producing controlled thermal coagulation points in the papillary, reticular dermis and Superficial Muscular Aponeurotic System (SMAS), causing immediate contraction, thereby inducing the production o

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Abdujalilovich, Boymuradov Shukhrat, Khasanov Adkham Ibrokhimovich, Yusupov Shokhrukh Shukhratovich, Rakhmanov Shakhzod Alimovich, and Madraimova Khonzoda. "Aesthetic Enhancements Through Secondary Surgery After Orthognathic Treatment of Malocclusion." Frontline Medical Sciences and Pharmaceutical Journal 5, no. 5 (2025): 5–10. https://doi.org/10.37547/medical-fmspj-05-05-02.

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Orthognathic surgery significantly improves facial aesthetics and functional occlusion; however, secondary procedures are often required for optimal aesthetic results. This study analyzes the role of complementary surgical interventions, primarily genioplasty, in enhancing chin and jawline contours after orthognathic surgery. Patients with skeletal Class II malocclusion frequently present with retrognathia or microgenia, necessitating chin augmentation through osteotomy and fixation. For Class II patients with excessive submental fat, liposuction and platysmaplasty refine the cervicomental ang

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Vasyliuk, S. M., O. V. Prudnikov, A. V. Petrash, V. I. Hudyvok, I. R. Labiak, and B. V. Krysa. "SMAS-rhytidectomy and fractional laser therapy in patients with age-related facial changes." Reports of Vinnytsia National Medical University 28, no. 4 (2024): 574–77. https://doi.org/10.31393/reports-vnmedical-2024-28(4)-01.

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Annotation. Aim – to evaluate the outcomes of the combination of SMAS facelift and fractional laser resurfacing in patients with involutional facial changes. The study included 58 female patients aged 30 to 55 who underwent SMAS facelift combined with fractional CO2 laser resurfacing. SMAS rhytidectomy was performed using the standard technique for lifting soft tissues of the face and neck. The power settings and the number of CO2 laser passes were adjusted individually based on the patient's skin type. Ninety days after surgery, 95% of patients reported high satisfaction with the procedure, 3

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Cucu, Ramona Paula, Marius Valeriu Hînganu, Monica Mihaela Scutariu, et al. "MORPHOLOGICAL AND VASCULAR CHARACTERISTICS OF THE SUPERFICIAL MUSCLO-APONEUROTIC SYSTEM OF THE ORAL REGION." Romanian Journal of Oral Rehabilitation 16, no. 1 (2024): 290–97. https://doi.org/10.62610/rjor.2024.1.16.26.

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Since the superficial musculo-aponeurotic system of the face (SMAS) of the face is still controversial, we intend to highlight the anatomical and especially vascular differences that exist between different regions of the face. Material and Methods We performed dissection and we examined intraoperatively the oral region, achieving particular aspects. We used HE stain technique as well as IHC particular markers for detecting endhotelial cells, collagen type III fibers and muscle fibers. Results The dissection showed that SMAS presents different areas regarding the mobility. The central portion

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Marten, Timothy J. "High SMAS Facelift: Combined Single Flap Lifting of the Jawline, Cheek, and Midface." Clinics in Plastic Surgery 35, no. 4 (2008): 569–603. http://dx.doi.org/10.1016/j.cps.2008.04.002.

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20

Hopping, Steven B., Sasa Janjanin, Neil Tanna, and Arjun S. Joshi. "The S-Plus lift: a short-scar, long-flap rhytidectomy." Annals of The Royal College of Surgeons of England 92, no. 7 (2010): 577–82. http://dx.doi.org/10.1308/003588410x12699663904439.

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INTRODUCTION As rhytidectomy is one of the most elective surgical procedures, there is a strong trend toward less aggressive operative techniques. The authors introduce the S-Plus lift, a ‘long flap’ superficial musculo-aponeurotic system (SMAS) imbrication technique that diminishes risks, decreases recovery time, and yields long-lasting results. PATIENTS AND METHODS This paper describes a novel approach to mid-facial rejuvenation that combines the limited incision of an S-lift with two SMASectomies, purse-string suture imbrication of the extended supraplatysmal plane (ESP) and SMAS, and malar

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Mirazim, Zaidov. "MODERN METHODS OF FACIAL REJUVENATION: SYNERGY OF MINIMALLY INVASIVE AND SURGICAL TECHNIQUES." Deutsche internationale Zeitschrift für zeitgenössische Wissenschaft 104 (May 20, 2025): 36–38. https://doi.org/10.5281/zenodo.15476977.

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Modern aesthetic facial surgery is aimed at achieving a natural, harmonious result with minimal trauma and a shortened rehabilitation period. The article discusses current trends and techniques in the field of facial rejuvenation, including minimally invasive technologies, SMAS-lifting, lipofilling, as well as the use of regenerative medicine and energy-based devices. Clinical algorithms for choosing the optimal treatment strategy are shown, taking into account the anatomical and age characteristics of the patient. Real clinical cases and an overview of the latest international studies are pre

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Stuzin, James M., Thomas J. Baker, and Tracy M. Baker. "Refinements in Face Lifting: Enhanced Facial Contour Using Vicryl Mesh Incorporated into SMAS Fixation." Plastic and Reconstructive Surgery 105, no. 1 (2000): 290–301. http://dx.doi.org/10.1097/00006534-200001000-00048.

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Chieregato, Fabiele, Diogo Duarte Olimpio Vieira, Paula Barbosa Pereira, et al. "ADVANCES IN THE USE OF MICROFOCUSED ULTRASOUND FOR FACIAL REJUVENATION." International Journal of Advanced Research 13, no. 03 (2025): 333–40. https://doi.org/10.21474/ijar01/20571.

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The demand for non-invasive technologies to address facial rejuvenation and achieve a lifting effect has increased significantly over the past decades. Micro-focused ultrasound is a technology capable of inducing microthermal lesions at varying tissue depths, including the superficial musculoaponeurotic system (SMAS) and the dermis. Following the formation of these lesions, determined by power adjustment and the precise delivery of concentrated energy across different layers, a healing process is initiated, ultimately leading to SMAS contraction and dermal restoration, primarily associated wit

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Massiha, Hamid. "Short-Scar Face Lift with Extended SMAS Platysma Dissection and Lifting and Limited Skin Undermining." Plastic and Reconstructive Surgery 112, no. 2 (2003): 663–69. http://dx.doi.org/10.1097/01.prs.0000070945.35807.ce.

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McKinney, P. "Suture Suspension Malarplasty with SMAS Plication and Modified SMASectomy: A Simplified Approach to Midface Lifting." Yearbook of Plastic and Aesthetic Surgery 2008 (January 2008): 118. http://dx.doi.org/10.1016/s1535-1513(08)70584-8.

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Noone, R. Barrett. "Suture Suspension Malarplasty with SMAS Plication and Modified SMASectomy: A Simplified Approach to Midface Lifting." Plastic and Reconstructive Surgery 117, no. 3 (2006): 792–803. http://dx.doi.org/10.1097/01.prs.0000209373.95115.70.

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Diniz, Bruna, Ana Carolina Nogueira Bientinez Basile, and Helena Bittar Abrantes. "Suspensão do SMAS por acesso temporal associada à técnica 3S: relato de caso." Orofacial Harmony 1, no. 2 (2023): 83–90. http://dx.doi.org/10.14436/oh.1.2.083-090.

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Introdução: A camada musculoaponeurótica facial tem ganhado destaque nos últimos anos, devido às possibilidades de abordagem em procedimentos cirúrgicos de lifting facial. Essa camada pode ser identificada no pescoço como a fáscia cervical superficial, e contém o músculo platisma. Na face, essa camada é contínua com o sistema musculoaponeurótico superficial (SMAS) e possui propriedades biomecânicas e viscoelásticas únicas. A técnica 3S de verticalização da face propõe reposicionamento e sustentação tecidual dos terços médio e inferior da face, acometidos pelo envelhecimento. Objetivo: O objeti

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Guryanov, R. A., S. Monkin, A. Monkin, and A. Petrov. "APPROACH TO 3D ANALYSIS OF GRAVITY PTOSIS." ISPRS - International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences XLII-2/W4 (May 10, 2017): 123–27. http://dx.doi.org/10.5194/isprs-archives-xlii-2-w4-123-2017.

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The assessment of ptosis degree for rejuvenation procedures, the choice of following operation technique and evaluation of surgery result are based on subjective visual examination and surgeon’s experience.<br><br> The photogrammetric scans of 25 female patients of age 20 to 55 in vertical and supine (horizontal) position of body with placing the regular marker points on the face were analyzed. For 5 patients, also the CT data was acquired and segmentation of soft tissue was performed. Four of these patients underwent SMAS-lifting, the photogrammetry scanning was repeat 6 months af

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Kang, Minchae, Ye-Ji Han, and Min-Woo Han. "A Shape Memory Alloy-Based Soft Actuator Mimicking an Elephant’s Trunk." Polymers 15, no. 5 (2023): 1126. http://dx.doi.org/10.3390/polym15051126.

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Soft actuators that execute diverse motions have recently been proposed to improve the usability of soft robots. Nature-inspired actuators, in particular, are emerging as a means of accomplishing efficient motions based on the flexibility of natural creatures. In this research, we present an actuator capable of executing multi-degree-of-freedom motions that mimics the movement of an elephant’s trunk. Shape memory alloys (SMAs) that actively react to external stimuli were integrated into actuators constructed of soft polymers to imitate the flexible body and muscles of an elephant’s trunk. The

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Mani, Marc. "Total Composite Flap Facelift and the Deep-Plane Transition Zone: A Critical Consideration in SMAS-Release Midface Lifting." Aesthetic Surgery Journal 36, no. 5 (2016): 533–45. http://dx.doi.org/10.1093/asj/sjv250.

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Meningaud, J. P., C. Bertolus, and J. Ch Bertrand. "Parotidectomies : évaluation du point de vue du patient de la technique associant voie de lifting et lambeau de SMAS." Revue de Stomatologie et de Chirurgie Maxillo-faciale 106, no. 6 (2005): 382. http://dx.doi.org/10.1016/s0035-1768(05)86127-3.

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Hamra, Sam T. "Commentary on: Total Composite Flap Facelift and the Deep-Plane Transition Zone: A Critical Consideration in SMAS-Release Midface Lifting." Aesthetic Surgery Journal 36, no. 5 (2016): 546–49. http://dx.doi.org/10.1093/asj/sjw019.

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Mani, Marc. "Response to “Commentary on: Total Composite Flap Facelift and the Deep-Plane Transition Zone: A Critical Consideration in SMAS-Release Midface Lifting”." Aesthetic Surgery Journal 36, no. 6 (2016): NP208—NP212. http://dx.doi.org/10.1093/asj/sjw057.

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Svechnikova, E. V., M. A. Morzhanaeva, A. A. Gorskaya, and Yu V. Maximova. "Protocols on correction of signs of undifferentiated connective tissue dysplasia using hardware and injection techniques in cosmetic patients." Meditsinskiy sovet = Medical Council, no. 2 (March 14, 2023): 15–25. http://dx.doi.org/10.21518/ms2023-031.

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Undifferentiated connective tissue dysplasia (UCTD) is a genetically determined condition with a progressive course characterized by defects in the fibrous structures and the basic connective tissue substance, leading to impaired formation of organs and systems, which determines the features of the associated pathology, as well as the pharmacokinetics and pharmacodynamics of drugs. In dermatological and cosmetological practice, the issue of UCTD is very topical, as individual external presentations of the connective tissue dysmorphogenesis among young people can reach 85.4%. In recent decades,

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Postnikova, E. V., and K. E. Avdoshenko. "Influence of hardware high-energy methods in cosmetology on cutaneous microcirculation of the face and neck." Plastic Surgery and Aesthetic Medicine, no. 2 (July 4, 2025): 41. https://doi.org/10.17116/plast.hirurgia202502241.

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Objective. To study cutaneous microcirculation in patients undergoing hardware high-energy cosmetic procedures and to assess the risks of trophic abnormalities in lateral fatty-cutaneous flaps of the face and neck in rejuvenation surgeries using laser flowmetry. Material and methods. The authors examined 220 patients aged 25-65 years (42.7±8.3 years) using laser flowmetry. The control group consisted of 100 patients without previous hardware cosmetic procedures. The study group included 120 female patients who underwent one of the most common procedures: ultrasonic SMAS-lifting (n=42), micro-n

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Yap, Eduardo C. "Principles of Structural Rhinoplasty in South East Asian Noses." Philippine Journal of Otolaryngology-Head and Neck Surgery 29, no. 2 (2014): 41–44. http://dx.doi.org/10.32412/pjohns.v29i2.437.

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What makes the majority of noses beautiful? It is the tip.1,2,3  South East Asian noses are usually small and short with bulbous tip and thick skin and soft tissue envelope (SSTE).2 The tip is determined by the shape and strength of the lower cartilages.2,3,4 The lower cartilages are usually soft and weak so there is a need for a strong support system for the attachment of the lower cartilages. Thus the surgical term is called “Structural Rhinoplasty.”2,3  The concept of the surgery involves re-structuring the tip to a new position for elongation and projection. Since t

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Hong, Gi‐Woong, Soo‐Bin Kim, Soo Yeon Park, Jovian Wan, and Kyu‐Ho Yi. "SMAS repositioning technique utilizing cog thread: Anatomical perspectives." Skin Research and Technology 30, no. 3 (2024). http://dx.doi.org/10.1111/srt.13650.

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AbstractIntroductionFace‐lifting surgeries were once common among individuals over 60 years old due to skin laxity, but recent trends favor thread lifting in this age group. Understanding dynamic changes in facial anatomy during postural shifts is essential.MethodFresh cadaver studies have demonstrated the passage of threads through the superficial musculoaponeurotic system (SMAS) layer, confirming the efficacy of the technique. Proper insertion depth targeting SMAS repositioning, rather than superficial skin layers, is crucial.ResultThe natural movement of tissues secured by thread (N‐Cog and

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Movassaghi, Kiya, Janna Check, and Alexander Gougoutas. "The U-SMASectomy Facelift." Plastic & Reconstructive Surgery, August 2, 2024. http://dx.doi.org/10.1097/prs.0000000000011673.

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Manipulation of the superficial musculoaponeurotic system (SMAS) has become a mainstay of face lifting procedures. Traditionally, the various surgical approaches to the SMAS have been classified as either “low” or “high” SMAS techniques, the former of which, while expeditious, have been criticized for suboptimal upper midface rejuvenation. High SMAS techniques, by contrast, are lauded for their ability to improve upper midface contours, but may carry increased surgical risk, particularly in the hands of less experienced aesthetic surgeons. Presented is the U-SMASectomy facelift (USL)- an imbri

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Fatemi, Farahnaz, Romina Najafian, and Mohammad Amin Sadri. "New Ultherapy method: Utilizing novel surgical and anatomical concepts yields outstanding results." Journal of Cosmetic Dermatology, May 21, 2024. http://dx.doi.org/10.1111/jocd.16374.

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AbstractBackgroundMicro‐focused ultrasound (MFU) is a technique for skin rejuvenation and lifting, targeting the facial SMAS—a fibrous network encompassing the platysma muscle and parotid fascia.ObjectiveThis study aims to propose a novel and cost‐effective method (suggested by Fatemi) for Ultherapy, comparing its effectiveness with the conventional approach.Materials and MethodsA prospective double‐blind clinical trial was conducted with 30 female volunteers randomly assigned to two groups: The control group (conventional method) and the experimental group (new method). Ultherapy procedures u

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Byun, Jin Suk, and Kenneth K. Kim. "Cutaneous Layer and SMAS Suspension (CaSS) Lift as a Minimally Invasive Lateral Midface Lift." Journal of Craniofacial Surgery, November 20, 2023. http://dx.doi.org/10.1097/scs.0000000000009817.

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Background: In our prior study, the authors determined that pulling on the superficial adipose layer is more effective in lifting the skin than pulling on the superficial musculoaponeurotic system (SMAS). Applying this concept of using the superficial adipose layer to transmit the lifting force to the skin, this study examined improvements in patients who underwent lateral midface lifting using our minimally invasive multilayer lifting technique and measured the duration of those improvements. Methods: Along the hairline in front of the sideburns, a W-shaped zigzag incision of 3 to 8 mm in wid

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Hu, Shirley, and Stephen W. Perkins. "THE EXTENDED SMAS DEEP PLANE FACELIFT." Facial Plastic Surgery, May 11, 2022. http://dx.doi.org/10.1055/a-1849-5356.

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Over the past four decades, the senior author has evolved and perfected his preferred method for face and neck lifting, the extended SMAS deep plane rhytidectomy and submentoplasty. With this procedure, the SMAS layer is addressed both in the face and neck, repositioning the tissues in a superior and posterior vector and creating a sling in the cervicomental area. Outcomes have proven to be both successful and long-lasting. In this article, a detailed update and discussion of the specific techniques utilized are provided.

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Kaya, Kerem Sami, and Ozcan Cakmak. "FACELIFT TECHNIQUES: AN OVERVIEW." Facial Plastic Surgery, June 16, 2022. http://dx.doi.org/10.1055/a-1877-9371.

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Facelift techniques can be classified according to the depth and extent of the dissection applied. Imbrication and plication of the SMAS referred to as “SMAS lifts” or "classical facelifts" are the most commonly used techniques. Plication techniques involve in-folding of the SMAS and suture suspension without any SMAS incision whereas imbrication techniques involve a SMAS incision with a portion of the SMAS either removed or transposed with or without limited subSMAS dissection. Ageing changes in the lower face and neck can be successfully treated with SMAS lift techniques. However, there is n

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Luu, Neil N., and Oren Friedman. "Facelift Surgery: History, Anatomy, and Recent Innovations." Facial Plastic Surgery, September 16, 2020. http://dx.doi.org/10.1055/s-0040-1715616.

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AbstractFacelift surgery has become a beautifully predictable, safe, and extremely effective operation. Our patients can expect natural and long-lasting results as a direct outcome of our improved understanding and applications of surgical facial anatomy. Rhytidectomy, once an operation of simple well-placed elliptical skin excisions, evolved to include longer skin flaps, skin and platysma flaps with various superficial muscular aponeurotic system (SMAS) manipulations, and various deep plane techniques involving the skin and SMAS as a single unit composite flap. Extended deep plane rhytidectom

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Talei, Benjamin, Dan Gould, and Hedyeh Ziai. "Vectorial Analysis of Deep Plane Face and Neck Lift." Aesthetic Surgery Journal, April 24, 2024. http://dx.doi.org/10.1093/asj/sjae102.

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Abstract Background The vector of aging and consequently the vector of lift in rhytidectomy has aided surgeons to improve movement of tissues during facial rejuvenation procedures. Objectives To analyze the vector of lift in patients undergoing primary and revision facelift in order to achieve proper vectorial lifting. Methods Patients undergoing deep plane facelift surgery were included for analysis. Intraoperative photographs and measurements were taken of the skin, SMAS and platysmal suture suspension with mastoid crevasse inset. Measurements were compared between patients who were undergoi

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Park, Soo Yeon, Jovian Wan, Song-Eun Yoon, Soo-Bin Kim, and Kyu-Ho Yi. "Facial Thread Lifting Complications: Underlying Causes." Journal of Craniofacial Surgery, December 30, 2024. https://doi.org/10.1097/scs.0000000000011064.

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Introduction: Thread lifting procedures are becoming increasingly popular for facial rejuvenation. However, various complications can arise during these procedures, many of which are influenced by anatomic factors. Methods: In this section, the authors explore the potential side effects associated with thread lifting and emphasize the anatomic structures that require careful attention. Techniques to mitigate these risks are also discussed, focusing on methods such as reticular cutis gathering and pinching techniques. Results: Complications from thread lifting can include dimpling, protrusion,

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B, Bizrah. "Extended Advanced Temporal, Face’s Neck Deep SMAS Lift." Modern Research in Plastic and Reconstructive Surgery 5, no. 1 (2025). https://doi.org/10.53902/mrprs.2025.05.000540.

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The goal of extended deep plane face and neck lift for the temporal, facial, and neck regions is to minimize the visible effects of aging and restore a youthful appearance. This technique aims to achieve a smoother contour by tightening the temporal area, laterally elevates the eyebrows, enhancing the cheekbones and jawline, lifting sagging cheeks, softening nasolabial folds and marionette lines, and addressing neck ptosis, cervicomental angle and the appearance of a double chin. The procedure also targets the restoration of a more youthful, natural look. Dr Bizrah’s modified vertically extend

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Conejero Roos, Jorge Alejandro, Roberto Ariel Macchiavello Macho, María José Hurtado Díaz, Amanda Wosiack Menin, Gregorio Maturana Cortés, and Cristián Arriagada Irarrázaval. "El lifting cervicofacial de plano profundo: Presentación de la técnica y resultados." Revista de Cirugía 75, no. 6 (2023). http://dx.doi.org/10.35687/s2452-454920230061848.

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Objetivo: El lifting cervicofacial es una técnica que busca devolver una apariencia juvenil y descansada al rostro del paciente. Originalmente, esta técnica se limitaba solamente a una disección en el plano cutáneo. El lifting de plano profundo o deep plane facelift, en cambio, utiliza un plano de disección anatómico por debajo del sistema musculoaponeurótico superficial (SMAS), permitiendo la lisis de los ligamentos de retención faciales y la máxima movilización de los tejidos superficiales, confiriéndole ventajas frente a otras técnicas. Se describe la técnica y se presenta nuestra experienc

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Luccia, Franca di, and Luciana Gotardo. "A eficacia do ultrassom microfocado no envelhecimento cutâneo." Revista Científica de Estética e Cosmetologia 3, no. 1 (2023). http://dx.doi.org/10.48051/rcec.v3i1.106.

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São complexas as mudanças estruturais que ocorrem durante o envelhecimento, porem as principais são: flacidez cutânea, ação muscular depressora, diminuição volumétrica dos compartimentos de gordura e perda da sustentação profunda da pele devido à remodelação óssea. Hoje com o acesso à tecnologia, é possivel promover o efeito lifting sem o ato cirúrgico atraves do ultrassom microfocado, tecnologia que se utiliza de elevação de temperatura, capaz de induzir estímulos na produção de colágeno novo, elevação clinica comprovada do tecido, contração do SMAS, desnaturação de fibras de colágeno e rearq

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Hong, Gi‐Woong, and Kyu‐Ho Yi. "Skin & SMAS layer remodeling technique (SSRT): Achieving both volume and lifting effects with filler treatments." Skin Research and Technology 30, no. 6 (2024). http://dx.doi.org/10.1111/srt.13809.

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AbstractBackgroundThe skin & SMAS layer remodeling technique (SSRT) represents a significant advancement in facial aesthetic treatments. Traditional methods primarily address wrinkles and volume loss, whereas SSRT focuses on achieving both volume and natural lifting effects through strategic filler injections. This technique emphasizes the anatomical and dynamic properties of facial tissues, particularly the SMAS, to enhance facial symmetry and contours while maintaining natural movement.Materials and MethodsSSRT employs a combination of firm and soft hyaluronic acid fillers to sculpt a yo

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Talei, Benjamin, Orr Shauly, Troy Marxen, Ambika Menon, and Daniel J. Gould. "The Mastoid Crevasse and 3-Dimensional Considerations in Deep Plane Neck Lifting." Aesthetic Surgery Journal, September 28, 2023. http://dx.doi.org/10.1093/asj/sjad321.

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Abstract Background Advances in face and neck lifting involve release of tethering points along the SMAS-platysma complex to freely manipulate the natural glide plane in the face and neck called the deep plane. Release of the deep plane tethering points permits a lower tension lift with a greater degree of movement and improvement. Access in this plane also allows manipulation of the deep neck space compartments and a greater mobilization of the SMAS-platysma complex. The underlying muscle, glands and soft tissue can be contoured and re-compartmentalized to their deeper native position. Once t

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