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A Novel Extended Deep Plane Facelift Technique for Jawline Rejuvenation and Volumization.

Authors :
Jacono, Andrew A
Bryant, Lucas M
Ahmedli, Nigar N
Source :
Aesthetic Surgery Journal; Dec2019, Vol. 39 Issue 12, p1265-1281, 17p
Publication Year :
2019

Abstract

<bold>Background: </bold>Jawline aging is a complex process. We believe loss of posterior jawline definition and volume depletion is an underappreciated factor in the aging face.<bold>Objectives: </bold>The aim of this study was to describe a novel composite, rotational flap modification of an extended deep-plane rhytidectomy. We evaluated long-term efficacy on improving jawline contour and volumization of the posterior mandibular region overlying the gonial angle.<bold>Methods: </bold>We performed a prospective study on patients who underwent our modification of extended deep-plane rhytidectomy. We define and introduce the mandibular defining line, a new anatomic metric in evaluating the mandibular contour. We define the area of the posterior lower face overlying the gonion and mandibular angle as the gonial area. Using 3-dimensional photography, we quantify contour changes along the mandibular border and volume change along the gonial area.<bold>Results: </bold>Eighty-nine patients (178 hemifaces) were analyzed. The mean gonial area volume gained was 3.5 cc. Average follow-up was 19 months. There was a statistically significant change in the mean mandibular defining line from 7.1 cm preoperatively to 9.8 cm postoperatively. This represents a lengthening of the visual perspective of the mandibular contour of 2.7 cm.<bold>Conclusions: </bold>Composite, rotational flap modification of extended deep-plane rhytidectomy provides significant long-term augmentation of volume to the posterior mandibular region and lengthens the visual perspective of the inferior mandibular contour, creating a more youthful jawline. In selected cases, this may obviate the need for other volumization procedures used to improve jawline contour, such as autologous fat grafting.<bold>Level Of Evidence:4: </bold> [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
1090820X
Volume :
39
Issue :
12
Database :
Complementary Index
Journal :
Aesthetic Surgery Journal
Publication Type :
Academic Journal
Accession number :
139709072
Full Text :
https://doi.org/10.1093/asj/sjy292