Extended Superficial Muscular Aponeurotic System Rhytidectomy: A Graded Approach

Authors: Stephen W. Perkins, M.D., and Amit B. Patel M.D.

Facial Plast Surg Clin North Am. 2009 Nov;17(4):575-87, vi. doi: 10.1016/j.fsc.2009.06.008.

Surgical approaches for rhytidectomy continue to evolve. For the past 26 years, the senior author has used a graded approach in combination with the modified deep-plane facelift, consistently achieving natural-appearing results and satisfied patients. This article outlines the analysis of the patient, preoperative preparation of the patient, an algorithm for adjunctive procedures to achieve a youthful yet balanced face, the associated surgical technique, and also possible complications.