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January 1990

Surgery of the Aging Face

Author Affiliations

Baltimore, Md

Arch Otolaryngol Head Neck Surg. 1990;116(1):21. doi:10.1001/archotol.1990.01870010025010

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The following represent some of the highlights presented concerning surgery of the aging face at the Fifth International Symposium of Facial Plastic Surgery in Toronto, Canada, on June 28, 1989.

Norman J. Pastorek, MD, New Rochelle, NY, presented a paper entitled, "Refinements of the Rafaty Brow Lift." The author defined improvements of the original Rafaty direct browlift technique, with emphasis on incision placement, elevation of the orbicularis muscle, and meticulous three-layer closure technique. Clinical indications and possible complications were also discussed.

Douglas D. Dedo, MD, West Palm Beach, Fla, presented a paper entitled "SMAS vs Sub-SMAS Facelift." Dr Dedo reviewed 117 facelift procedures over a 5-year period. Included in this series were two patients who had received a sub-SMAS elevation and advancement procedure on one side and a SMAS plication procedure on the other. Dr Dedo was unable to clinically distinguish between the two sides 5 years postoperatively. Based on these observations, Dr Dedo suggests that plication may be just as effective in the long term as SMAS elevation and advancement.

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