Chapter 62 - Cosmetic surgery aging neck and face

Question 1

4 complications from facelift

Answer 1

hematoma (10%, more in men, 2.6x more likley if BP 150/100)
nerve injury (great auric 7%, marg <1%)
skin necrosis (preauricular>postauricular)
contour irregularities (cobra-neck...overly aggresive removal of submental fat)

Question 2

rate limiting anatomy to facelift

Answer 2

hyoid bone

if anterior relative to chin –> MCA, LFTA more obtuse

Question 3

Tissue layer lifted in most facelift techniques

Answer 3

SMAS

Question 4

In general, what is done during facelift?

Answer 4

Elevate SMAS

Draw deep tissues up, fixate to fascia

Question 5

4 issues treated by facelift

Answer 5

sagging neck skin, platysmal bands, jowls, excess cervical fat
Does not correct fine wrinkles
Also do liposuction, platysmaplasty

Question 6

What is the SMAS

Answer 6

contains mm of facial expression, attached to dermis

only mm of body attaching to skin

Question 7

great auricular nerve

Answer 7

C2-3, lower ear and periauricular skin

6.5cm below external ear on belly of SCM

Question 8

Lower Face Throat Angle

Answer 8

90-105 deg
cervical point –> menton
subnasale –> pogonion

Question 9

Mentocervical angle

Answer 9

80-90
relationship of neck to face
cervical point –> menton
glabella –> pogonion