Short-scar facelift technique combining malar fat pad suspension and lamellar low superficial musculo-aponeurotic system excision

Background: Minimally invasive surgery is already at the forefront in all surgical specialties, including cosmetic surgery. Hence, we have adapted and modified our technique to offer a short-scar facelift with minimal tissue dissection and manipulation to surgically rejuvenate the aging face. Objective: This study aimed to surgically address the aging face and neck by employing this modified short-scar rhytidectomy with minimal dissection, manipulation, and using the correct vector suited for Asian faces as an alternative and innovative surgical procedure. Methods: We performed this short-scar facelift by combining the malar fad pad suspension and lamellar low superficial musculoaponeurotic system (SMAS) excision Results: From 2015 to 2017, we have performed 51 facelift procedures with our modification, with 8 men and 43 women, with a mean age of 64.30 years (range, 50-78 years). Of the 51 patients, 29 patients (56.86%) had regular follow-ups. Three complications were noted. One developed post-operative hematoma. The other developed seroma formation. The third developed split thickness skin necrosis. Majority of our patients were satisfied with the results. Conclusion: This combined malar fat pad suspension and lamellar low SMAS excision technique is a simple, safe, and effective alternative procedure for facelift. Level of Evidence: V