This will also interest you
(ON VIDEO) Guerlain quantum cream debunk YouTuber G Milgram received internal documents to alert him to the imminent release…
What does this new facelift consist of? In fact, the Deep plane facelift (DPFL) is not at all a new facelift because it was imagined by a brilliant Swedish surgeon, Dr. Tord Skoog, who was the first surgeon in 1973 to tighten the tissues in depth, in addition to the skin for the practice of facial rejuvenation. face. At the same time, anatomical work was carried out on the superficial musculo-aponeurotic system of the face (or Smas), by a French team led by Dr Vladimir Mitz, under the leadership of Professor Paul Tessier at the Foch hospital in Paris. , inventor of craniofacial surgery.
The discoveries of this team have revolutionized surgery techniques for re-tensioning superficial and deep facial structures. The main characteristic of the DPFL is that it is a composite lift, that is to say that the skin and the Smas are tightened together, without being separated by the scalpel. Penetration under the Smas is done deep in the middle of the cheek, whereas the usual technique of a biplane facelift (where the Smas and skin are separated) requires entry into the Smas just in front of the ear.
A difference in direction of the voltage vectors
One of the fundamental elements that characterize the possibilities of facial rejuvenation consists of understanding the vectors that will allow their repositioning, not only of the layers of the skin and the Smas, but also of the fatty cells which have collapsed with aging.
American surgeons tend to use horizontal vectors for re-tensioning the face, which has advantages because the scars from the incisions can be smaller, but these horizontal vectors have big disadvantages because they deform the mouth by pulling it in. each side towards the rear.
So, from the beginning, I have always advocated vertical vectors at the face and backward vectors at 45 degrees behind the ear directed toward the mastoid, to reposition the collapsed elements of the neck. But to correctly practice these tissue re-tensioning of the skin and the Smas, it is necessary to make longer incisions at the level of the temple and at the level of the mastoid region. There is therefore a difference in the design of these operations between American surgeons and European surgeons, but the techniques are changing and many American surgeons have adopted these techniques with a vertical vector predominating at the level of the face.
Who popularized the Deep plane facelift or DPFL?
Several innovative surgeons can be credited with popularizing the fashion of Deep plane face lift Or DPFL. First, Australian surgeon Brian Mendelson, an early follower of Dr. Tord Skoog. On the other hand, Dr. Andrew Jacono in the United States; apparently, he was the first to use the name Deep plane Facelift and showed spectacular results in patients in an age group much younger than all those operated on in the past. Indeed, there is a conceptual modification towards a proven refusal of aging, which we see in an increasingly young population. This has led to an increased need for innovative surgical and medical techniques that can address these problems.
A large surgical appetite in the younger population fighting against aging
In fact, in the past, the populations concerned by facial rejuvenation operations were those who had aged prematurely; the average age was between 65 and 70 years old to have an operation. We are currently seeing requests for rejuvenation from the age of forty, as soon as discreet jowls appear or the neck becomes too distended.
The development of hyaluronic acid filler injections or lipofilling to treat cracks or increase cheekbones is a strong trend in rejuvenation medicine.
Over the last twenty years or so, the fashion for tensor threads has come to offer an effective but transitory remedy for lifting up deep tissues that have collapsed.
As these methods only have a limited effect, there is room for more lasting techniques, rejuvenation surgery of the renewed facelift type, with different technical characteristics. A simpler, more direct surgery, with consequences including rapid recovery in around ten days instead of the three weeks that major cervico-facial lifts previously required.
DPFL came to fill this demand for which there were no such good surgical solutions previously.
Should the Furnas ligaments be cut?
The Furnas ligaments, named after the surgeon who described them, attach the structures of the face deep against the periosteum and the bones, they are the guarantors of the solidity and hold of our face, providing fibrous anchoring of the surface area to depth. When there is significant aging, it is necessary to section them in order to be able to bring the skin and the Smas together, and reposition the fatty deposits which have moved under the effect of gravity in the standing position. The main technique of DPFL requires a section of these ligaments, at least largely in the central region of the face, to achieve a satisfactory result of re-tensioning.
But, in certain cases, particularly in younger patients, these ligaments have some residual elasticity, so we can avoid cutting them. You simply have to put them back into maximum tension by not separating the skin from the underlying Smas: this is the basis of the microlift or micro face lift technique described by Doctor Vladimir Mitz in 2014.
Conclusion
THE Deep plane facelift is a very interesting technique for treating moderate aging of patients who wish effective rejuvenation by a surgical method now well recognized internationally, this technique has a large number of variants depending on the operators who give them more or less exotic names in order to distinguish their method.
But the basis of this technical advance is the return of subcutaneous detachments at the same time as the work on the underlying Smas, which constitutes a revolutionary advance in the treatment of aging of our human figure.
