Rejuvenation Surgery with High-Superficial Musculoaponeurotic System Flap

Abstract

Introduction: Facial rhytidectomy is the technique for correcting facial aging features, but they are becoming increasingly complex due to the incorporation of deeper planes in the process. The superficial musculoaponeurotic system techniques have the advantage of providing a greater degree of naturalness and permanence in time.

Objective: To evaluate the effectiveness of the high-superficial musculoaponeurotic system technique for facial rejuvenation.

Methods: A prospective and longitudinal case series study was carried out in the plastic surgery service of Hospital General Universitario “Vladimir Ilich Lenin” with patients who requested facial rejuvenation and were treated with the high-superficial musculoaponeurotic system technique, from January 1, 2018 to June 30, 2020. The variables age, sex, skin type, degree of aging, operative complications, patient satisfaction and aesthetic outcomes were studied.

Results: The female sex predominated, together with the age group 50-59 years, the degrees of aging II and III, as well as white and light brown skin colors, while the most frequent operative complication was wound dehiscence of the suture line at the auricle root. The patients' satisfaction with the aesthetic outcomes of the surgical intervention was verified and the aesthetic outcomes was assessed as favorable in 100 % of the cases for the used surgical technique.

Conclusions: The high-superficial musculoaponeurotic system surgical technique for rhytidectomy offers harmonic, long-lasting outcomes with a low percentage of complications, making it a valuable alternative for patients.

Keywords: high-superficial musculoaponeurotic system; rhytidectomy; facial rejuvenation.