Multiplane Technique

• combines an extended SMAS dissection and a deep plane lift (allows dissection in subcutaneous plane to release zygomatic ligaments and skin of midface)

• Advantages: separate dissection of SMAS allows better redraping of skin, more skin may be excised than deep plane lifts, may address melolabial crease better

• Disadvantages: similar to composite techniques, more compromise of vascular supply than deep plane lifts with separate SMAS and skin dissections

• Triplane Technique: 3 levels of dissection (subcutaneous in temple and neck, sub-SMAS in lower cheek, subperiosteal in midface), allows maximal correction of jowl while limiting the degree of sub-SMAS dissection to lower cheek, protects the facial nerve

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