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JAMA Facial Plastic Surgery Clinical Challenge
Mar/Apr 2017

Vertical Sweep Deformity After Face-lift

Author Affiliations
  • 1Facial Plastic and Reconstructive Surgery, North Shore University Hospital Manhasset, New York, New York
  • 2New York Eye and Ear Infirmary & Albert Einstein College of Medicine, New York
  • 3New York Center for Facial Plastic and Laser Surgery, New York
JAMA Facial Plast Surg. 2017;19(2):155-156. doi:10.1001/jamafacial.2016.1602

A 64-year-old woman presented for evaluation of a facial deformity after undergoing rhytidectomy 3 years previously. Initially, the patient was satisfied postoperatively with her cosmetic outcome. However, 10 months after surgery she began to notice the onset of a “pulled” appearance to her skin, with vertical traction marking on her face and neck bilaterally. This became more prominent over the 2 years prior to her visit (Figure).