A Short-Incision Deep Plane Face-lift Technique With a Composite Cheek Flap Performed With Tumescent Local Anesthesia by a Dermasurgeon

I describe a technique for performing a deep plane face-lift with a short incision. Fifty patients underwent this surgery in my Medicare-certified outpatient surgicenter adjacent to my dermatology offices. The procedure was performed most often with mild sedation and tumescent local anesthesia. The results were excellent, with natural-looking rejuvenation of the neck and lower face, and patient satisfaction was high. Complications were few but did include 2 temporary palsies of the buccal branch of the facial nerve and superficial skin necrosis. No infections, hematomas, or hypertrophic scarring occurred.