Abstract

GOULART JR., R.  and  SCIPIONI, A.P.. Rithydoplasty: SMAS-Platisma suture and the importance of naturality concept. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.2, pp.105-119. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000200001.

Rithydoplasty has been done with standards and new procedures for the last years with great changes in its results. In the beginning, only the skin strength was done with poor results. With a better knowledge about facial anatomy the results has gotten better and changed with a major standards and strengths are done over the muscular framework. The skin, now, only has the cover function over the new facial contouring. The purpose in this paper, is to show the efficiency of SMAS-Platisma suture and the importance of a natural philosophy that it be the basis over a modern rithydoplasty technique. A total of 617patients underwent rithydoplasty, all of them female. The surgeries were either alone or combined with additional surgery, between January 1992 and December 2010. The age ranged between 37 and 75 years old. Combined surgeries included: breast reduction, mastopexy, abdominoplasty, breast implant, blepharoplasty, rhinoplasty, lipoplasty, vascular surgery, hysterectomy and other gynecology surgeries. Three hundred twenty six patients underwent rithydoplasties alone. Complication rates were between 0,16 % to 1,13 % according each complication founded and 4,03 % in total. This review showed the efficiency of a SMAS-Platisma suture and the importance of philosophy of naturality that should be the basis over the technique and the natural results that can be achieved even with combined surgeries. All the patients were satisfied with the outcomes and the post- operatory complications were in acceptable levels. In our opinion, rhytidoplasty beyond the other aesthetic surgeries, needs a philosophical concept based over the most pure naturality that also needs to be independent from de fashion, the demands from de industry and from the unsatisfied minds of the patients. It is very important that the plastic surgeons have strong routines and guide de procedure with the only purpose to obtain a natural result.

Keywords : Rhytidoplasty; Face lifting; Facial surgery; SMAS; Platysma.

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