Abstract

MOLE, B.  and  CLAVERIA, G.. The double locking face lift: a technic for beginners. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.3, pp.231-240. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000300004.

We report our favourite cervicofacial lift technique based on 3 principles: secondary undermining after subcutaneous canulation through 2 or 3 small incisions, a first lock at the level of any classic SMAS technique and a second subdermic lock after appropriate tension on the skin flap 1cm in front of the primary incision. We consider that this method provides the following advantages: safe undermining plane without any traction on the final scar, hair preservation, and a final natural looking consistent with the usual request in France. We therefore believe that this technique could be particularly useful for those whose experience is still limited. We report the survey of the 132 cases operated over the past 5 years without any major incident. Revision rate is 3 %, but we believe it underestimates the quality of the results and efforts must be continued on the possible shortcomings of cheek ptosis, correction of nasolabial fold and jowls. We recommend a medial approach for difficult necks and are reluctant to undermine extensively the mastoid area. We limit as much as possible malar lifts which recovery is sometimes difficult to manage, preferring the restoration of this area through lipofilling later complemented if necessary by one of the many fillers now available.

Keywords : Rhytidoplasty; Cervicofacial lifting; Facial surgery; Neck surgery; SMAS.

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