Modified composite-flap facelift combined with finger-assisted malar elevation (FAME): A cadaver study

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dc.contributor.authorÇakmak, Özcan
dc.contributor.authorÖzücer, Berke
dc.contributor.authorAktekin, Mustafa
dc.contributor.authorÖzkurt, Fazıl Emre
dc.contributor.authorAl-Salman, Rami
dc.contributor.authorEmre, İsmet Emrah
dc.date.accessioned2022-08-09T09:13:47Z
dc.date.available2022-08-09T09:13:47Z
dc.date.issued2018en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun ve Boğaz Hastalıkları Ana Bilim Dalıen_US
dc.descriptionPMID: 29509842
dc.description.abstractBackground: Inadequate release of retaining ligaments during facelift surgery may lead to an unnatural appearance. However, most facelift surgeons are hesitant in transecting these ligaments to avoid possible injury to facial subbranches. Objectives: In the authors’ surgical practice for modified composite flap rhytidectomy, the authors employed the finger-assisted malar elevation (FAME) technique in order to enable safe release of the zygomatic cutaneous ligaments through the prezygomatic space under direct vision. The aim was to evaluate the anatomical basis and safety measures of this technique through a cadaveric dissection study. Methods: Modified composite-flap facelift with the FAME technique was carried out in 22 fresh cadaver hemi-faces. All facial nerve subbranches were dissected thoroughly to assess for any evidence of injury during facelift, and to evaluate the safety of the operation. The relations among the facial nerve, zygomatic cutaneous and masseteric ligaments, orbicularis oculi muscle, and malar fat pad were investigated. Results: Finger dissection of the prezygomatic space allows safe release of the zygomatic cutaneous ligaments as well as adequate entry to a proper surgical plane above the zygomatici muscles under direct vision, while leaving the malar fat pad and overlying structures attached to the skin without the need of a transblepharoplasty approach. Conclusions: This study by the authors shows that a modified composite-flap facelift with FAME technique is a safe procedure that allows adequate and effective repositioning of an en-bloc composite flap that produces balanced and harmonious rejuvenation of the midface and lower face without the need of a separate midface lift.en_US
dc.identifier.citationÇakmak, Ö., Özücer, B., Aktekin, M., Özkurt, F. E., Al-Salman, R. ve Emre, İ. E. (2018). Modified composite-flap facelift combined with finger-assisted malar elevation (FAME): A cadaver study. Aesthetic Surgery Journal, 38(12), 1269-1279.en_US
dc.identifier.doi10.1093/asj/sjy062en_US
dc.identifier.endpage1279en_US
dc.identifier.issn1090820X
dc.identifier.issue12en_US
dc.identifier.pmid29509842en_US
dc.identifier.scopus2-s2.0-85056329105en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage1269en_US
dc.identifier.urihttps://academic.oup.com/asj/article/38/12/1269/4917328?login=true
dc.identifier.urihttps://hdl.handle.net/11468/10154
dc.identifier.volume38en_US
dc.identifier.wosWOS:000456671600012
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzkurt, Fazıl Emre
dc.language.isoenen_US
dc.publisherOxford University Pressen_US
dc.relation.ispartofAesthetic Surgery Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdulten_US
dc.subjectAgeden_US
dc.subjectCadaveren_US
dc.subjectCheeken_US
dc.subjectFacial Musclesen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectLigamentsen_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectMyocutaneous Flapen_US
dc.subjectRejuvenationen_US
dc.subjectRhytidoplastyen_US
dc.titleModified composite-flap facelift combined with finger-assisted malar elevation (FAME): A cadaver studyen_US
dc.typeArticleen_US

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