Planning of methods of surgical correction of soft tissues of the face and neck
https://doi.org/10.24835/1607-0763-1027
Abstract
Objective. Role of ultrasound examination in planning surgical correction of age-related changes of the face and neck soft tissues.
Methods. A prospective analysis of the study and treatment of 80 patients with involutive changes in the soft tissues of the face and neck who were carried out from 2018 to 2020 in the Mositalmed Clinic. The age of the patients ranged from 24 to 60 years. The mean age was 42 ± 6.89 years (± SE standard deviation mean). There were 67 female patients (83.7%), male patients – 13 (16.3%).
Results. The diagnostic value of ultrasound examination in involutional changes in the soft tissues of the face and neck for determining the causes of contour deformities is noted.
Conclusion. Ultrasound imaging in an upright position of the patient makes it possible to determine the degree of participation of each tissue in the formation of deformity, which is extremely important for planning various techniques for rejuvenating the face and neck.
About the Authors
S. M. AlimovaRussian Federation
Sekina M. Alimova – Cand. of Sci. (Med.), plastic surgeon, department of plastic & reconstructive surgery, cosmetology and cellular technologies of Pirogov Russian National Research Medical University of the Ministry of Health of Russia.
1, Ostrivityanova str., Moscow 117997.
Phone: +7-925-877-10-08
Competing Interests:
No
V. I. Sharobaro
Russian Federation
Valentin I. Sharobaro – Doct. of Sci. (Med.), Professor of department of plastic & reconstructive surgery, cosmetology and cellular technologies, Pirogov Russian National Research Medical University of the Ministry of Health of Russia.
1, Ostrivityanova str., Moscow 117997; 115682 Moscow, 28, Orekhovy bld.
Competing Interests:
No
A. V. Telnova
Russian Federation
Anna V. Telnova – Ultrasound Specialist of Department of Ultrasound Diagnostics, Federal Research Clinical Center of the Federal Medical Biological agency.
115682 Moscow, 28, Orekhovy bld.
Competing Interests:
No
E. E. Stepanyan
Russian Federation
Elza E. Stepanyan – Сlinical resident, Department of Plastic and maxillofacial Surgery, A.I. Evdokimov Moscow State University of Medicine and Dentistry.
20/1, Delegatskaya str., Moscow, 127473.
Competing Interests:
No
References
1. Shadfar S., Perkins S.W. Anatomy and Physiology of the Aging Neck. Facial Plast. Surg. Clin. N. Am. 2014; 22: 161–170. http://dx.doi.org/10.1016/j.fsc.2014.01.009
2. Luu N.N., Friedman O. Facelift Surgery: History, Anatomy, and Recent Innovations. Facial Plast. Surg. Published online: 2020-09-16. https://doi.org/10.1055/s-0040-1715616
3. Jacono A.A. A novel volumizing extended deep-plane facelift using composite flap shifts to volumize the midface and jawline. Facial Plast. Surg. Clin. N. Am. 2020; 28: 331–368. https://doi.org/10.1016/j.fsc.2020.03.001
4. Fedok F.G. Another look at platysmaplasty in facelifting. Facial Plast. Surg. 2020; 36 (4): 395–403. https://doi.org/10.1055/s-0040-1714062
5. Quatela V., Montague А., Manning J.P., Antunes М. Extended Superficial Musculoaponeurotic System Flap Rhytidectomy. Facial Plast. Surg. Clin. N. Am. 2020; 28: 303–310. https://doi.org/10.1016/j.fsc.2020.03.007
6. Auersvald L.A., Auersvald A. Sternohyoid muscles plication and sternocleidomastoid muscles rejuvenation in neck lift: a retrospective study of 1,019 consecutive patients. Plast. Aesthet. Res. 2021; 8: 4. http://dx.doi.org/10.20517/2347-9264.2020.187
7. Sykes J.M, Riedler K.L, Cotofana S, Palhazi P. Superficial and Deep Facial Anatomy and Its Implications for Rhytidectomy. Facial Plast. Surg. Clin. N. Am. 2020; https://doi.org/10.1016/j.fsc.2020.03.005
8. Ramirez O.M. Multidimensional evaluation and surgical approaches to neck rejuvenation. Clin. Plast. Surg. 2014; 41 (1): 99–107. http://dx.doi.org/10.1016/j.cps.2013.09.011
9. Smith R.M, Papel R.M. Difficult Necks and Unresolved Problems in Neck Rejuvenation. Clin. Plast. Surg. 2018; 45: 611–622. https://doi.org/10.1016/j.cps.2018.06.009
10. Weinstein A.L, Nahai F. A layered approach to neck lift. Plast. Aesthet. Res. 2021; 8: 11. http://dx.doi.org/10.20517/2347-9264.2020.192
11. Okuda I., Yamakawa Y., Mitani N. et al. Objective evaluation of the relationship between facial expression analysis by the facial action coding system (FACS) and CT/MRI analyses of the facial expression muscles. Skin Res. Technol. 2020; 26 (5): 727–733. https://doi.org/10.1111/srt.12864
12. Okuda I., Akita K., Komemushi T. et al. Basic Consideration for Facial Aging: Analyses of the Superficial Musculo- aponeurotic System (SMAS) Based on Anatomy. Aesthetic Surg. J. 2021; 41 (3): NP113-NP123. https://doi:10.1093/asj/sjaa305
13. Alfen N.V., Gilhuis H.J., Keijzers J.P. et al. Quantitative facial muscle ultrasound: feasibility and reproducibility. Muscle Nerve. 2013; 48: 375–380. https://10.1002/mus.23769
14. Volk G.F., Pohlman M., Sauer M. et al. Quantitative ultrasonography of facial muscles in patients with chronic facial palsy. Muscle Nerve. 2014; 50: 358–365. http://10.1002/mus.24154
15. Safran T., Gorsky K., Viezel-Mathieu A. et al. The role of ultrasound technology in plastic surgery. J. Plast. Reconstr Aesth. Surg. 2018; 71: 416–424. http://10.1016/j.bjps.2017.08.031
16. Wortsman X., Ferreira-Wortsman C., Quezada N. Facial Ultrasound Anatomy for Noninvasive Cosmetic and Plastic Surgery Procedures. Atlas of Dermatologic Ultrasound. 2018. http://10.1007/978-3-319-89614-4_6
17. De Greef S., Claes P., Mollemans W. et al. Semi-automated ultrasound facial soft tissue depth registration: method and validation, J. Forensic Sci. 2005; 50: 1–7. http://10.1520/JFS2004547
18. Mashkevich G., Wang J., Rawnsley J., Keller G.S. The Utility of Ultrasound in the Evaluation of Submental Fullness in Aging Necks. Arch. Facial Plast. Surg. 2009; 11 (4): 240–245.
Supplementary files
Review
For citations:
Alimova S.M., Sharobaro V.I., Telnova A.V., Stepanyan E.E. Planning of methods of surgical correction of soft tissues of the face and neck. Medical Visualization. 2021;25(4):47-52. (In Russ.) https://doi.org/10.24835/1607-0763-1027