ASAPS Published Journal 2019: Methods in Preserving The Facial Nerves Branches During Facelift Surgery

 Methods in Preserving The Facial Nerves Branches During Facelift Surgery:

“Preserving Orbicularis Branches of the Zygomatic Nerve with the Orbicularis Oculi Muscle-Superficial Musculoaponeurotic System Flap Complex in Facelift Surgery”

My paper, titled “Preserving Orbicularis Branches of the Zygomatic Nerve with the Orbicularis Oculi Muscle-Superficial Musculoaponeurotic System Flap Complex in Facelift Surgery” was published in the scholarly journal of American Society of Plastic Surgeons (ASPS). It focuses on the anatomical considerations and preservation techniques of facial nerve branches in facelift procedures.

Until now, there has been limited research specifically focused on these facial nerve branches, and even in the work of leading experts, preservation techniques have not been clearly addressed. This paper highlights the significant anatomical variation in the location, number, and pattern of these branches, and provides a detailed description of how they can be reliably preserved regardless of their specific anatomical presentation.

This work was also presented at the American Society for Aesthetic Plastic Surgery (ASAPS) meeting held in New York in the spring of 2018. Following previous publications in Aesthetic Plastic Surgery, the journal of the International Society of Aesthetic Plastic Surgery (ISAPS), and in the journal of the American Society of Plastic Surgeons (ASPS), this marks my third publication in 2018. I am proud and grateful that this study can contribute, even in a small way, to the advancement of facelift techniques and facial anatomy in East Asian patients.

https://rnwoodplasticsurgery.blogspot.com/2018/05/aesthetic-meeting-2018-in-new-york.html 

https://rnwoodplasticsurgery.blogspot.com/2018/03/aesthetic-plastic-surgery-journal-sci.html 

https://rnwoodplasticsurgery.blogspot.com/2019/09/discussing-cause-of-facial-sagging.html 

https://rnwoodplasticsurgery.blogspot.com/2019/09/discussing-cause-of-facial-sagging.html

For over a decade, I have been deeply immersed in facelift surgery and facial anatomy. Through this journey, I feel that the foundation of my own theory and surgical technique has finally taken shape, reaching a sense of completion. Combining surgical techniques and theories from respected pioneers and history-makers — Dr. Mendelson, Dr. Aston, and Dr. Marten — I strive to develop a method that is both effective for Asian complexions. I have devoted significant effort to the midface lift, one of the most technically demanding procedures, especially in patients who experience sagging after facial contouring or orthognathic surgery.

Though I do not know how many more decades, two or three, I will continue as a surgeon, I believe my prime has just begun. With a strong sense of responsibility, I will continue to move forward, step by step, committed to contributing to the ongoing evolution of facelift surgery and facial anatomy in Asian patients.

The SMAS flap in the zygomatic (cheek) region tends to be thin and fragile, making it difficult to maintain adequate traction and achieve secure fixation. This is one of the reasons why midface lifting remains technically challenging. To overcome this, the technique of incorporating the orbicularis oculi muscle (OOM) into the SMAS flap has been employed. This method has been safely and effectively applied over the past two decades by respected surgeons such as Dr. Mendelson, Dr. Aston, and Dr. Marten, whose theories and techniques I also follow.

The significance of this paper lies in presenting not only a theoretical foundation for performing this technique more safely and reliably, but also a detailed method for preserving the facial nerve branches in the process. I hope that continued anatomical research in this area will deepen our understanding and lead to further refinement of clinical techniques.

Dr. Minhee Ryu, M.D.

RNWOOD Plastic Surgery

Seoul, South Korea

(Source: https://blog.naver.com/rejuvemaster/221372757591)

Dr. Minhee Ryu is a World-Class FACELIFT Specialist and Global Educator, who is deeply committed to sharing his facial rejuvenation surgery and anatomy expertise. As a lecturer, tutor, and demonstrator, he is invited to deliver DEEP PLANE FACELIFT presentations and perform live surgery and cadaver dissection Demonstrations in more than 15 countries, including Korea, the US, Europe, Singapore, Australia, Japan, and beyond.

Recognized worldwide for his expertise in DEEP PLANE FACELIFT, Dr. Ryu is a Faculty Member at MAFAC since 2016, a guest Faculty Member at Mayo Clinic since 2023, and an Editorial Board Member for the Aesthetic Plastic Surgery Journal (SCI) since 2019. He is an active member of KSPRS, ASPS, ASAPS, and ISAPS. As a global top-tier leader in Facelifts, Dr. Minhee Ryu makes dedicated contributions to academic advancement and surgical education.

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