| Autor: |
Kaye, Kai O., Sattler, Daniel R. |
| Jazyk: |
German<br />English |
| Rok vydání: |
2014 |
| Předmět: |
|
| Zdroj: |
GMS German Plastic, Reconstructive and Aesthetic Surgery – Burn and Hand Surgery, Vol 4, p Doc09 (2014) |
| Druh dokumentu: |
article |
| ISSN: |
2193-7052 |
| DOI: |
10.3205/gpras000028 |
| Popis: |
Objective: The MACS facelift alone shows poor results on the medial neck in cases of pronounced, rigid platysmabands (McKinney III–IV°). The original MACS (“Minimal Access Cranial Suspension”) facelift delirs excellent results on the midface and leads to sustainably improved outcome on the neck by adding a fourth suture on the platysma. McKinney type I–II platysmabands can be treated only by lateral approach of the ‘fourth suture’, type III–IV should be treated with closed platysma myotomy before.Methods: Between October 2007 and November 2013 a number of 219 patients were treated with the MACS facelift technique accomplished by a fourth suture on the platysma and liposuction or optional lipectomy on the neck. On 47 patients closed transcutaneous platysma myotomy was performed.Results: Surgery time lasted on average 2.5 hours and was performed under sedation with local anesthesia in 85%. Recovery time ranged between 14 to 16 days until the patients were back to work. Due to their health status 54% of our patients had an inpatient arrangement for one night and 46% an outpatient arrangement.Conclusion: The modification of the MACS lift with the ‘fourth suture’ on the platysma keeps the benefits of the original technique but improves the aesthetic outcome on the neck. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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