METHOD FOR CORRECTING AGE-RELATED CHANGES OF GRAVITATIONAL NATURE OF SOFT TISSUES OF LOWER THIRD OF FACE AND NECK Russian patent published in 2021 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, specifically to plastic surgery. Performing cuts in paraauricular areas, mobilizing skin flaps of face and neck, superficial musculo-aponeurotic system dissection, dissection in the layer under the superficial musculo-aponeurotic system, mobilization of the superficial muscle of the neck, movement, re-fixation of the cut out flaps of the superficial musculo-aponeurotic system of the face, excision of excess skin flaps and wound closure. Incisions in paraauricular regions are made by enclosing the hair growth line on the temple from the level of the upper edge of the auricle. Then tragus surface is passed into bovine and occipital areas, edging earlobes and auricle. Mobilization of skin flaps of the face and neck is performed to a vertical line that passes from the point of bilge arc intersection with the periphery of the circular muscle of the eye through anterior border of the masseter to the lower edge of the thyroid cartilage. Incision of the superficial muscular-aponeurotic system of the face is performed at distance of 2.5 cm from the tragus of the ear, parallel to the front edge of the masseter, from the level of the zygomatic bone to the upper edge of the thyroid cartilage, preserving the peripheral branch of the lower jaw of the facial nerve; horizontal skin incision 2 cm long in the sub-chin region at 1 cm from the chin protrusion, and Furnas's mandibular ligaments are transected. Cut out flaps of superficial musculo-aponeurotic system are moved in three vectors: first - in cranial direction and laterally at angle of 45 degrees in parotid-chewing area with fixation to front edges of lateral segments of superficial musculo-aponeurotic system. Second one is medial when interplatismal space in the sub-chin area is closed. Third one is lateral - when the subcutaneous muscle of the neck is sutured to the Laura fascia.

EFFECT: method enables excluding skin incisions in the temporal region in the scalp, reducing the volume of mobilized facial skin, optimizing the stability and quality of the aesthetic result, avoiding flattening of tissues in operated areas and stigma formation of "operated face".

1 cl, 36 dwg, 2 ex