摘要

Objectives: I would like to present my approach to Deep Plane Facelift. This systematic step-by-step approach allows the procedure to be taught to an aspiring surgeon, and to be done in a safe and reproducible manner. I have taught this technique to a number of my colleagues, wishing to learn the Deep Plane Facelifting, who encouraged me to share this with a wider audience. I am in a process of preparing a manuscript for publication. Introduction: I was introduced to Deep Plane Facelift in Dr. Sam Hamra’s operating room over 20 years ago, and have modified my technique over the years, with some novel surgical maneuvers. The technique has 4 distinct steps, done in a specific order. First, the composite cheek flap is elevated in 3 distinct sequential steps; then the cheek is vectored and fixated in place using a unique surgical maneuver. This systematic approach makes the procedure safe and reproducible. I have presented my technique at a few national and international meetings, where it was met with some acclaim. Materials / method: The presentation includes clear intraoperative videos; didactic slides and a number of long term (2-3 year) postoperative results. Results: 136 consecutive single surgeon cases were reviewed. No flap necrosis, no infection, one hematoma, 3 temporary neuropraxia.