Dr Badamutlang Dympep is 1st year resident at the Department of Plastic Surgery. She hails from the remote North-Eastern part of India where there is limited medical accessibility. Under the training of Professor J Jaganmohan and the faculty of MMC, Chennai, she hopes to bring world-class health care to the people in the remote areas, especially in Plastic and reconstructive surgery. Newer and improved methods of reconstructive surgery are conceived out of the vast experience in Plastic Surgery by the faculty in MMC. Through this conference, she will share their research work.
Background: New and innovative techniques of Face Lift procedures are increasingly becoming popular in this modern society. A detailed understanding of the layered anatomic architecture of the face and neck is essential to the Aesthetic Surgeon. The Author’s eight-layered anatomy of face helps in easy understanding the plethora of procedures available for correction of the aging process. This new anatomical concept forms the foundation for understanding the current paradigm of facelift operation- “the volumetric facial shape reconstruction” in conjunction with “tissue lift paradigm”. The byproduct of this new anatomical concept is three - ‘safe planes for dissection’, “combined layer dissection based on vascularity and tensile strength for lift strategy” and “pitfall areas” where the complication like an injury to the motor and sensory nerve branches most likely to occur. Materials and Method: 24 adult face specimens were examined in 12 cadavers by dissection under 2.5 X loupe magnification. The course of temporal and marginal mandibular branch of the facial nerve was defined with respect to the eight layers. Safe dissection planes to protect these nerves are also defined as these nerves do not have interfascicular crossovers to tolerate any injury. Results: There exist eight concentric layers in the face and neck region with considerable regional variation in texture and morphology. Conclusion: The comprehensive eight layered anatomy of the face documented in this study imparts the knowledge that guides the facial aesthetic surgeon’s dissection within safe planes. At the same time to recognize danger zones and cautious transitions in dissection planes during the facelift procedures.