Evaluation the results of the middle and lower facial skin tightening by sub-SMAS procedure

Do Thanh Nghia1,, Vu Quang Vinh2, Hoang Tuan Anh, Tran Van Anh2
1 Vietnam Military Medicine University
2 National Burn Hospital

Main Article Content

Abstract

This paper aims to evaluate the results of the middle and lower facial skin tightening by the sub-SMAS procedure. The study was carried out on 9 women, 37 - 63 years old with aging, sagging skin in the middle and lower layers of the face who underwent facelift surgery at the Center of Plastic, Aesthetic, and Reconstructive Surgery, National Burn Hospital.
The results: Surgery time was 2 - 3 hours under endotracheal anesthesia. 100% no damage to facial nerve branches, the incision healed, there was mild to moderate swelling, no infection, a few cases of mild bruising, and no skin flap necrosis. Facial skin was instantly stretched. There were satisfactory aesthetic results (1-6 months after surgery) in the follow-up of 9/9 patients. In the long-term aesthetic results (after 6 months) follow-up: 3/9 patients showed great results. All of the patients were satisfied with their incision location, scar quality, tension as well as the natural contours of the face.
FACS fell from level 3 - 4 to 0 shortly after physical therapy and stabilized at level 1 - 2. The FOS scores increased sharply from 0 - 25 points to 86 - 100 points and stabilized at 96 points average. The experts also rated the cosmetic result as good through the FOSE score of level 4 (maximum). Thus, mid and subfacial skin tightening with the sub-SMAS surgical method is a safe and effective method that is reasonably applicable to patients with aging, moderate to severe sagging faces.

Article Details

References

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