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The "Delta" Facelift: Optimizing Facial And Neck Rejuvenation With Smas Plication And Deep Cervicoplasty In 281 Patients
James C. Grotting, MD FACSC1, Maryam Saheb-Al-Zamani, MD FRCSC2.
1University of Alabama at Birmingham, Birmingham, AL, USA, 2Private Practice, Toronto, ON, Canada.

PURPOSE: The senior author has developed a facial rejuvenation technique that combines a less-aggressive SMAS rotation-advancement plication with a more-aggressive approach two-vector platysmal plication and correction of the deep structures of the neck. This approach addresses the distinct and differential changes seen in facial and neck structures for optimal results.
METHODS: All patients who underwent Delta SMAS plication facelift from January 2012 to May 2021 were included in the study. Retrospective chart review was performed for demographic information, outcomes, and postoperative complications including nerve injuries, hematomas, infections, seromas and sialoceles, and re-operations.
RESULTS: The Delta facelift was performed on 281 patients (271 females, 10 males) with an average age of 60.7 years old at time of surgery. Most patients (99%) underwent a concurrent adjunctive procedure, the 3 most common procedure including facial fat grafting (93%), blepharoplasty (52%) and skin rejuvenation (36%). Only 9 patients experienced mild complications including 9 self-resolving neuropraxias, 6 hematomas drained at bedside, and 6 mild infections. Only 9 patients underwent revision or repeat treatments for facial and/or neck rejuvenation after the Delta SMAS plication facelift within study timeline.
CONCLUSION: The Delta facelift offers a safe, efficient, and customizable approach to counter the effects of aging in the face and neck for harmonious and long-lasting rejuvenation.


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