{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T07:59:29Z","timestamp":1792828769821,"version":"4.5.0"},"reference-count":50,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Energy-based facelifting techniques are a relatively new genre of surgery. In this approach, the energy-based device\u2014whether laser, radiofrequency plasma, or ultrasound\u2014can be used in the superficial plane to elevate skin flaps before performing more traditional facelift techniques involving the superficial musculoaponeurotic system (SMAS) or platysma. The initial reports of utilizing fiber lasers as surgical tools date back to approximately 2007 and initial lipolasers were used to elevate facial skin flaps. The other energy-based devices were also tested. The author has probably the largest series of energy-based facial rejuvenation procedures, having performed over 3,000 of these procedures. The advantages of laser-assisted rhytidectomy include hemostasis, facilitated dissection in areas hard to elevate conventionally such as nasolabial folds or distal neck and the remodeling and tightening of tissue that results from the activation of the wound healing cascade of neocollagenesis and wound contraction. The author currently has a preference for energy device used during rhytidectomy and it is a high frequency ultrasound energy delivered by a five-ring 2.9- and 3.7-mm probe. The use of the ultrasound dissector in both superficial and deep procedures is highlighted in this article with emphasis on its use for deep cervicoplasty and subplatysmal procedures as well as sub-SMAS elevations of the facial deep plane.<\/jats:p>","DOI":"10.1055\/s-0040-1714119","type":"journal-article","created":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T23:03:38Z","timestamp":1598915018000},"page":"430-446","source":"Crossref","is-referenced-by-count":5,"title":["Ultrasound-Assisted Rhytidectomy Including Sub-SMAS and Subplatysmal Dissection"],"prefix":"10.1055","volume":"36","author":[{"given":"Richard D.","family":"Gentile","sequence":"additional","affiliation":[{"name":"Department of Facial Plastic Surgery, Gentile Facial Plastic and Aesthetic Laser Center, Youngstown, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,8,31]]},"reference":[{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"305","DOI":"10.5435\/00124635-200009000-00004","article-title":"Thermal modification of connective tissues: basic science considerations and clinical implications","volume":"8","author":"S P Arnoczky","year":"2000","journal-title":"J Am Acad Orthop Surg"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1046\/j.1524-4725.1999.99091.x","article-title":"A pilot study of in vivo immediate tissue contraction with CO2 skin laser resurfacing in a live farm pig","volume":"25","author":"E V Ross","year":"1999","journal-title":"Dermatol Surg"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/0304-4165(82)90182-9","article-title":"Influence of collagen denaturation on the chemorheological properties of skin, assessed by differential scanning calorimetry and hydrothermal isometric tension measurement","volume":"717","author":"M le Lous","year":"1982","journal-title":"Biochim Biophys Acta"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1053\/sder.2003.50011","article-title":"The use of nonablative radiofrequency technology to tighten the lower face and neck","volume":"22","author":"T S Hsu","year":"2003","journal-title":"Semin Cutan Med Surg"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"1665","DOI":"10.1088\/0031-9155\/46\/6\/306","article-title":"Photothermal coagulation of blood vessels: a comparison of high-speed optical coherence tomography and numerical modelling","volume":"46","author":"J K Barton","year":"2001","journal-title":"Phys Med Biol"},{"key":"ref7","first-page":"48.1","volume-title":"Low-Power Laser Therapy. 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