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Daniel C. Baker, Foad Nahai, Hamid Massiha, Patrick Tonnard, Short Scar Face Lift, Aesthetic Surgery Journal, Volume 25, Issue 6, November 2005, Pages 607–617, https://doi.org/10.1016/j.asj.2005.08.001
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Dr. Baker: The first patient is a 48-year-old fashion consultant who wants to correct her neck and jowl laxity (Figure 1). Although her hair is quite short, she is planning to let it grow and wear it up off her face. Many of her friends and clients have undergone face lift surgery and have significant scars behind their ears; she would like to avoid this. Dr. Massiha, how would you treat this patient?
Dr. Massiha: She has some asymmetry, and the right side of her face is smaller than the left. The asymmetry may require another procedure, such as fat grafting. She has a type 1 or 2 deformity1 and would be an ideal candidate for a short scar face lift.
Dr. Baker: Would you do a SMAS flap, plication, or some type of suspension technique?
Dr. Massiha: I would dissect the SMAS and platysma as one unit and pull it up. Whatever SMAS is in excess, I would remove. I would treat the left side more aggressively than the right, and maybe that would improve the asymmetry. I like using a SMAS platysma unit, but if I could not dissect the cheek part of the SMAS because it was too thin or too thick, I would create a skin flap in the upper part of the face and blend it with the SMAS platysma flap of the lower face, namely below the level of the lips inferiorly.
