Triple-S Lift for Facial Rejuvenation

Background: Since the beginning of the last century, when the aesthetic rejuvenating surgery was first described, there have been great changes in tactics and methods for solving the problems of age-related facial changes. Since the first description of the superficial muscular aponeurotic system (SMAS), there have been two main approaches to influencing this structure. These are various types of SMAS plications and different in-depth and technique sub-SMAS liftings. Each of these approaches has its advantages and disadvantages. Methods: We have developed and applied a face-lift technique that combines the advantages of both approaches. We call it the triple-S lift, which is based on three basic principles:1.A short scar technique;2.The safety SMAS (limited sub-SMAS dissection to anterior border of the masseter muscle);3.The support system (a complex of ligatures in the sub-SMAS layer, which allows lifting and plication of the medial part of the SMAS simultaneously) According to this method, there were 93 operations performed on 8 men and 85 women aged 38 to 72 years. Results: The first clinical applications produced good results. The patients noted a high degree of satisfaction, and the level of complications was quite low. Since the technique has been performed for a short period of time, we demonstrate results of the 2-year period. Conclusion: The described technique requires further study, but the first results suggest that this type of a surgical intervention is safe, easy to execute, and may be an option to choose for surgical correction of facial aging changes. Level of Evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. © 2019, Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.