摘要

Objectives: The indication for extended subcutaneous ans sub smas procedures leads to harder post operative contraints, as opposd to the recent microlift described in 2014 , where the Furnas ligaments are not divised and dissection remains minimal; the indications of these procedures have to be discussed properly, as will be shown in yhis presentation; Introduction: The battle of mini lifts versus extended face lifts with a large dissection is not over; the appearance of tensor threads in 2010 and the surprising but undeniable development of aesthetic medicine methods have disrupted the surgical landscape of facial rejuvenation. Materials / method: The battle of mini lifts versus extended face lifts with a large dissection is not over; the appearance of tensor threads in 2010 and the surprising but undeniable development of aesthetic medicine methods have disrupted the surgical landscape of facial rejuvenation. However, even in the case of deep plane facelifts, patients' request is to obtain a natural result and simple postoperative evolution: this has required a reduction in subcutaneous dissection in favor of an approach under the SMAS. Results: Mini lifts still remain widely used throughout the world, also by surgeons who are a little more timid or who wish to practice safer rejuvenation techniques, without complications, on an outpatient basis and with the minimum of surgical risks. The biplane microlift that I described in 2010 and published in 2016 under the name MICROLIFT or MICROSMAS LIFT lift is a lighter disruptive technique: no skin dissection, a minimal undermining under the SMAS still attached toward the , without cutting the suspensory ligaments of the face, and finally rotating the SMAS flap upwards and forwards; Conclusion: There is a big difference in indication between these two procedures: the microlift is purely reserved for relatively young patients who are beginning to see the appearance of small jowls and distension at the neck ; they sometimes have a fatty mass that a simple liposuccion is not enough to cure. On the other hand, as soon as there is an excess skin of more than 2 cm that can be pinched between the fingers at the level of the face or neck, the microlift is no longer a sufficient weapon;it will be necessary to move on to the extended biplane SMAS lift, which we perform as usual.