Abstract
In the first of this two-part article on the ‘optimum mobility’ facelift, facial tissue mobility was analyzed, and three theories or mechanisms emerged: ‘intrinsic mobility’, ‘surgically induced mobility’ and ‘optimum mobility points’.
In this second part, these three theories are applied to a rhytidectomy procedure termed ‘optimum mobility’ facelift. Before surgery, ‘optimum mobility points’ are marked on the skin. During surgery, the subcutaneous dissection is kept to a minimum by carrying it out precisely to these ‘optimum mobility points’. The facial tissues, with their skin and superficial musculoaponeurotic system attachments intact, are then mobilized laterally using the ‘intrinsic mobility’ phenomenon, and this mobilization fixed in place using mattress sutures.
The ‘optimum mobility’ facelift is an efficient rhytidectomy technique that has a thoughtful, precise plan, a low complication rate, a fast recovery and very satisfactory results.
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