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Verbo E.V.

Russian Medical Academy for Continuous Professional Education

Andryushchenko O.A.

Russian Medical Academy for Continuous Professional Education

Kraytor A.S.

Russian Medical Academy for Continuous Professional Education

Manturova N.E.

Russian Medical Academy for Continuous Professional Education

Galiy M.I.

Russian Medical Academy for Continuous Professional Education

Modified SMAS lifting with zigzag cutting of SMAS

Authors:

Verbo E.V., Andryushchenko O.A., Kraytor A.S., Manturova N.E., Galiy M.I.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2025;(2): 18‑24

DOI: 10.17116/plast.hirurgia202502118

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Table of contents

MODIFIED SMAS LIFTING WITH ZIGZAG CUTTING OF SMAS
MODIFIED SMAS LIFTING WITH ZIGZAG CUTTING OF SMAS

To cite this article:

Verbo EV, Andryushchenko OA, Kraytor AS, Manturova NE, Galiy MI. Modified SMAS lifting with zigzag cutting of SMAS. Plastic Surgery and Aesthetic Medicine. 2025;(2):18‑24. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202502118

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To ensure synergy of high PMAS mobilization and facial tissue mobilization in deep plane by preserving the main lymphatic collectors of lateral surface of the face in combination with effective fixation of SMAS flap to deep temporal fascia.

MATERIAL AND METHODS

A feature of original method is zigzag cutting of SMAS with further mobilization towards modiolus, lifting and fixation to deep temporal fascia. Ther were 35 patients after this surgery. In this case, the main lymphatic drainage pathways of lateral surface of the face remain intact. This is a predictor of fast rehabilitation.

RESULTS

Original method has all advantages of high SMAS and mobilization in deep plane. Among 35 patients, difficulties in mobilizing the SMAS were observed in 2 patients due to multiple thermal effects (Altera, Thermage). Postoperative period was uneventful, and wounds healed via primary intention.

CONCLUSION

Original method solves two important problems - preservation of the main lymphatic collectors of lateral surface of the face and simultaneous fixation of SMAS to deep temporal fascia. This leads to stable results and rapid rehabilitation.

Keywords:

high SMAS
SMAS lifting
mobilization in deep plane
lymph nodes
lymph drainage
tissue dissection
subplatysmal space

Authors:

Verbo E.V.

Russian Medical Academy for Continuous Professional Education

Andryushchenko O.A.

Russian Medical Academy for Continuous Professional Education

Kraytor A.S.

Russian Medical Academy for Continuous Professional Education

Manturova N.E.

Russian Medical Academy for Continuous Professional Education

Galiy M.I.

Russian Medical Academy for Continuous Professional Education

Received:

28.02.2025

Accepted:

15.03.2025

Close metadata

References:

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