Limited Delamination Modifications to the Extended Deep Plane Rhytidectomy: An Anatomical Basis for Improved Outcomes

Abstract

Background:

This study introduces variations of a limited delamination approach to the deep plane face- and necklift.

Objectives:

To report surgeons’ perceptions of limited delamination deep plane rhytidectomy, define the anatomical basis to support these modifications, and report complication rates.

Methods:

This retrospective multi-institutional chart review study of patients undergoing a modified classical deep plane face- and necklift. Surgeons’ perception of outcomes and self-reported complications were collected.

Results:

In total, 3964 patients having undergone face- and necklift with six surgeons being included. Most patients were female (87.9%) with an age range of 31–83 years (mean 58 years). Most were primary procedures (2672/3964; 67.4%) with a median follow-up of 425 days (range 21–5470). Preliminary surgeon experience demonstrated increased ease of flap management, improved biomechanics, smaller perceived rates of skin discoloration, and telangiectasia of the skin and lower revisions rate (n = 11; 0.8%). Complication rates were low for hematoma (n = 24; 1.9%) and seroma requiring needle aspiration (n = 26; 2%) and minor infection (n = 18; 1.4%).

Conclusions:

A multicenter surgeon experience with the limited delamination extended deep plane rhytidectomy is based on anatomical evidence and demonstrates low complication rates and surgeon-perceived improved long-term outcomes. Prospective comparative outcomes of these evolving techniques are warranted.