안면거상술에 대해 얼마나 알고 계신가요?

Hello, This is ‘We are the beauties’, Dr. Kang Byung-su of Woori Beauty TV Today, I will explain the latest insights into facelift surgery Surgery continues to evolve over time Facelift surgery has been steadily improving through the efforts of many great surgeons over the years Some approaches were correct, while others were proven incorrect as time passed

As facelift surgery evolves, certain aspects gain recognition, while others change Today, I will explain these developments [-Plastic Surgery Specialist -Seoul Asan Medical Center Department of Plastic Surgery -Outpatient Professor, Seoul Asan Medical Center Plastic Surgery -Member of the Korean Society of Plastic and Reconstructive Surgeons -Member of the Korean Society of Aesthetic Plastic Surgeons]

The two most significant advancements are First, in 1995, a doctor named Stuzin wrote this paper How should we perform SMAS dissection during facelift surgery? How can we significantly improve nasolabial folds? With conventional methods, the jowl and neck seem to lift well But the nasolabial folds improve less, so they sought a solution

So after studying about that issue, he came up with this paper The two key point of this paper is that the retaining ligaments should be severed The zygomatic retaining ligament and the anterior masseteric cutaneous ligaments, Cutting these two ligaments improves nasolabial folds Additionally, severing the mandibular ligaments here, and The auricular retaining ligaments improves the marionette lines

These two aspects were emphasized Dr. Stuzin wrote this paper in 1995 And many surgeons achieved excellent results by following it It remains a highly regarded paper today The most crucial illustration is this one In fact, it appears in plastic surgery textbooks

When dissecting the SMAS Incising the high SMAS area And cutting the zygomatic retaining ligament Helps lift the nasolabial folds This point was strongly emphasized Following this principle during surgery

Significantly improves the nasolabial folds And when pulling the lower SMAS, lift up the bottom part here too and improve the jowl line From my experience with Dr. Stuzin's method, it is indeed an excellent paper Recently, this approach has Gained popularity among surgeons and is recognized as an effective surgical method The recent trends in facelift surgery

Include a technique developed in 2018 by Dr. Jacono Known as the Deep Plane Facelift The biggest difference is that Dr. Stuzin's traditional method lifts the skin and SMAS separately This has its advantages By lifting the skin and SMAS separately The directions for lifting the SMAS and the skin can differ

This allows the surgeon to explore more diverse techniques For example, the SMAS can be pulled in one direction and the skin in another, creating combinations However, it also has a critical disadvantage Some individuals have weak SMAS beneath their skin For such patients, SMAS dissection may cause tearing or insufficient tension due to its fragility This can occur in both Koreans and Caucasians, and

Especially in Koreans, previous treatments such as thread lifts or other surgeries may have already damaged the SMAS Unknowingly performing surgery under such conditions can lead to SMAS tearing or difficulty in surgery due to pre-existing damage Additionally, some individuals naturally have weak SMAS without prior surgery For such cases, and to increase the lifting force on the face

The idea is to pull from farther away With such considerations, Dr. Jacono's method was developed It involves lifting the skin and SMAS together This method is not the only solution, as there are other ways to improve the face besides the Jacono technique For example, when the degrees of sagging in the skin and SMAS differ In some areas, the SMAS sags significantly, while in others, the skin sags more

Or when the thickness of the skin and SMAS differs There are also cases where wrinkle patterns are entirely different Dr. Stuzin's Extended SMAS method can adjust to these variations Whereas Jacono's Deep Plane method is a more consistent surgery In a way, it does not address individual differences among patients as much While neither can be said to be the definitive answer

Both methods are correct What this means is Choosing either method is the right approach but other surgeries are not recent techniques For example, the SMASectomy or Max Lifting methods Max Lifting does not cut the SMAS but uses sutures to tie parts of the SMAS under the skin

However, as the sutures dissolve, the face returns to its original state This method is less effective and not the correct solution The SMASectomy method, which does not cut retaining ligaments but only trims and sutures the SMAS but since the retaining ligaments were not severed, eventual relapse If we want a facelift surgery that provides more permanent and significant lifting

With better results, these methods are ultimately not the answer While I cannot say that either of the two methods I explained today is the definitive answer The other methods apart from these two are not the answer Some surgeons use both methods, while others develop one method to an extreme level and use it I personally use both methods Today, I explained some difficult concepts to understand

Since facelift surgery is a very challenging procedure Some patients leave everything to the surgeon, while others study a lot before coming in However, studying can lead to acquiring a lot of incorrect knowledge, so if one is going to study It might be better to learn from the papers written by true experts Not just from knowledge available on YouTube, but based on the papers that doctors actually refer to

I have explained the two most spotlighted methods in recent times This has been ‘We are the beauties’, Dr. Kang Byung-su of Woori Beauty TV