TRIPLAN FACE LIFT

Face Aging

“The most interesting Surface on Earth for us is the face of a human being” I.S.K. Lichtenberg. Stress, smoking, insomnia, the effects of the sun, and the sins of time are left on the skin of the face. For the purposes of aesthetic surgery, the face is divided into three parts: upper, middle and lower. In your thirties, wrinkles appear around eyes, the outer corners of eyebrows start to drop down, an excess of skin appears on the upper lids. For those who frown a lot, deep vertical wrinkles appear between eyes, the inner corners of eyebrows droop down and the impression, or expression of an angry or a tired face appears. Around forties, the middle part of the face changes; the cheeks become “flat”, the side wrinkles join the upper lip and they  becomes more prominent. Around the fifties, strangler effect appears, chinstrap wrinkles and a double chin start to form.

Aesthetic analysis of the aging face (signs of aging face)






    * From a surgical point of view we divide central oval of
     the face and peripheral hemi circle.
     * The central oval of the face is the area which ages earlier
     in life.
    * This aging can become worse at any stage during
    moderate or advanced aging.
     * The manifestations of aging in the peripheral usually
    appear late in life.
     * The standard face lift techniques, corrects the  peripheral
    hemicircle but becomes less effective in central oval
    volume rejuvenation.




Basic principles for the rejuvenation of the central oval:
* Direct approach to the central oval of the face;
* Interconnected subperiosteal plane of dissection on the upper and midface;
* Absence of visible incisions on the central oval;
* Use of endoscopic techniques;
* Absence of traction with the skin or SMAS from the peripheral hemicircle;
* No skin tension;
* Tissue volume restoration by  vascular fat mobilization;
* Tissue elevation and repositioning by imbrication;
* Soft tissue augmentation by fat grafting;
* Face balance restoration by implants.

 Triplan face lift. Direction of face tissue reposition



A Triplan face lift has a central and peripheral  approach to the face and corrects all facial areas symetrically. Triplan face lift- face tissue is undermined  on three levels using two approaches. Central face oval corrections are made by an endoscopic subperiosteal approach to the forehead and the midface in a vertical direction. Peripheral face tissue is undermine in subcutaneous and subplatyzmal planes and lifting is performed in superiolateral and lateral directions.


Triplan face lift technique. Three layers undermining




Triplan face lift. Objective results.




    Objective results
    Lid- cheek distance;
    Cheek shape and volumetric changes;
    Lip corner elevation.

 

First patient

* Upper and lower eyelid surgery
* Triplan face lift
Before (first line) and after (line below)

Second patient
* Upper eyelid surgery
* Triplan face lift
Before (first line) and after (line below)
 
Third patient
* Upper and lower eyelid surgery
* Triplan face lift
Before (first line) and after (line below)
 

Fourth patient
* Upper and lower eyelid surgery
* Triplan face lift
Before (first line) and after (line below)


Fifth patient
* Upper and lower eyelid surgery
* Triplan face lift
Before (first line) and after (line below)



Sixth patient
* Triplan face lift
* III group. The superfacial lamella face lift + endoscopic TCFL
Before (first line) and after (line below)