{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:51:24Z","timestamp":1790398284257,"version":"4.1.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study introduces variations of a limited delamination approach to the deep plane face- and necklift.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To report surgeons\u2019 perceptions of limited delamination deep plane rhytidectomy, define the anatomical basis to support these modifications, and report complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective multi-institutional chart review study of patients undergoing a modified classical deep plane face- and necklift. Surgeons\u2019 perception of outcomes and self-reported complications were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In total, 3964 patients having undergone face- and necklift with six surgeons being included. Most patients were female (87.9%) with an age range of 31\u201383 years (mean 58 years). Most were primary procedures (2672\/3964; 67.4%) with a median follow-up of 425 days (range 21\u20135470). Preliminary surgeon experience demonstrated increased ease of flap management, improved biomechanics, smaller perceived rates of skin discoloration, and telangiectasia of the skin and lower revisions rate (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 11; 0.8%). Complication rates were low for hematoma (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 24; 1.9%) and seroma requiring needle aspiration (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 26; 2%) and minor infection (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 18; 1.4%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A multicenter surgeon experience with the limited delamination extended deep plane rhytidectomy is based on anatomical evidence and demonstrates low complication rates and surgeon-perceived improved long-term outcomes. Prospective comparative outcomes of these evolving techniques are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2024.0018","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T05:53:31Z","timestamp":1722232411000},"page":"657-664","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Limited Delamination Modifications to the Extended Deep Plane Rhytidectomy: An Anatomical Basis for Improved Outcomes"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7563-5439","authenticated-orcid":false,"given":"Michael","family":"Roskies","sequence":"first","affiliation":[{"name":"Yorkville Plastic Surgery Centre, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominic","family":"Bray","sequence":"additional","affiliation":[{"name":"Azara, Tunbridge Wells, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil A.","family":"Gordon","sequence":"additional","affiliation":[{"name":"New England Surgical Center, Facial Plastic Surgery, The Retreat at Split Rock, Wilton, Connecticut, USA."},{"name":"Department of Surgery, Head and Neck Aesthetic Surgery, Section of Otolaryngology, Yale School of Medicine,New Haven, Connecticut, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Gualdi","sequence":"additional","affiliation":[{"name":"Universit\u00e0 Vita-Salute San Raffaele, Milan, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9856-3658","authenticated-orcid":false,"given":"L. Mike","family":"Nayak","sequence":"additional","affiliation":[{"name":"Nayak Plastic Surgery, St. Louis, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Talei","sequence":"additional","affiliation":[{"name":"Beverly Hills Center for Facial Plastic Surgery, Beverly Hills, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,25]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199007000-00008"},{"key":"e_1_3_5_3_2","article-title":"Deep-Plane rhytidectomy: Pearls in maximizing outcomes while minimizing recovery","author":"Gordon NA","year":"2023","unstructured":"Gordon NA, , Sawan TG. Deep-Plane rhytidectomy: Pearls in maximizing outcomes while minimizing recovery. 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