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Evolution/Challenges of Facial Rejuvenation - New ...
Evolution/Challenges of Facial Rejuvenation - New ...
Evolution/Challenges of Facial Rejuvenation - New Techniques for New and Old Issues | Featuring Mexico, Belarus, Taiwan | Global Partner Webinar Series
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Video Summary
The ASPS Global Partner Webinar Series opened with moderator Edward Tong outlining ASPS’s global role, partner-society agreements, membership benefits, and upcoming meetings (Global Plastic Surgery Congress in Buenos Aires and Plastic Surgery The Meeting in Houston). The session theme was “Evolution, Challenges of Facial Rejuvenation: New Techniques for New and Old Issues,” featuring three expert speakers.<br /><br />Dr. Norberto Jiménez-Martínez presented his “super high SMAS extended deep plane facelift,” emphasizing structural (deep) rather than superficial skin tightening. Key concepts included restoring volume using the patient’s own tissues, planning correct vectors (three main deep vectors for periorbital rejuvenation, facial repositioning, and deep neck definition), and achieving support through sub-SMAS dissection. He showed multiple cases—including revision patients with prior fillers/thread lifts—highlighting natural, long-lasting results, precise scar placement, and the importance of neck rejuvenation. He also discussed technical steps such as preserving SMAS integrity in “super high SMAS,” nerve monitoring, and detailed closure techniques.<br /><br />Dr. Dimitri Badioukov discussed dissatisfaction with inconsistent midface outcomes from traditional approaches and shifted focus to an integrated “freestyle facelift” prioritizing midface and neck. He described connecting upper-face endoscopic dissection with lateral facelift planes, tailoring vectors, and separately fixing the midface via a temporal/deep temporal fascia fixation to improve eyelid–cheek transition and reduce lower blepharoplasty and canthopexy needs.<br /><br />Dr. Jorge Hoyos emphasized “skin quality” and the real-world impact of prior non-surgical treatments (fillers, threads, energy devices) on surgical planning and complications. He reviewed injectable principles (ligament-based lifting vs volumizing), device options (HIFU, radiofrequency), biostimulators, associated risks (edema, nodules, fibrosis, vascular compromise), and consensus guidance on recommended waiting periods before surgery, advocating surgeons understand and often perform these adjunctive treatments themselves.<br /><br />A Q&A covered patient selection, comparative advantages, complication management, operative time, and managing prior minimally invasive treatments.
Keywords
ASPS Global Partner Webinar Series
facial rejuvenation
deep plane facelift
super high SMAS extended facelift
sub-SMAS dissection
midface lift
freestyle facelift technique
temporal fascia fixation
neck rejuvenation
complications of fillers threads energy devices
preoperative waiting period after injectables
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