Om. Ramirez, CLASSIFICATION OF FACIAL REJUVENATION TECHNIQUES BASED ON THE SUBPERIOSTEAL APPROACH AND ANCILLARY PROCEDURES, Plastic and reconstructive surgery, 97(1), 1996, pp. 45-55
Subperiosteal face lift is a new way of doing facial rejuvenation. The
re are multiple variations of technique described by several authors.
Each variable introduced to the technique may be relevant to the final
outcome and potential safety or complications. The most important var
iables are extent of dissection, combination of the subperiosteal diss
ection with other planes of dissection, suspension methods, and use of
ancillary techniques. A systematic classification of techniques in wh
ich a lesser or greater subperiosteal dissection is made has been devi
sed. Each technique is individualized and differentiated from seemingl
y alike techniques. A list of ancillary techniques is included. This c
lassification is useful for facial evaluation and preoperative plannin
g. A surgical proposal is made individualizing each patient's facial a
esthetics rather than giving one type of operation to every patient. T
his classification is also useful for comparison and analysis of surgi
cal results obtained with differ ent techniques. It has the ver satili
ty of adding new variations and any ancillary technique adapted to the
surgeon's idiosyncrasy. It can be used as a model to develop a classi
fication of traditional face lift techniques.