Can direct brow lift be considered for rejuvenation surgery

Facelift facelift facelift facelift facelift

Scalp Reshaping Scalp Reshaping Scalp Reshaping

Mohs micrographic surgery provides complete microscopic margin assessment while maximizing preservation of healthy tissue. However, the resulting nasal defects can be particularly challenging because of the nose’s central facial position, complex three-dimensional anatomy, variable skin thickness, limited tissue mobility, and essential role in airway function.

This presentation offers a practical, defect-oriented approach to reconstruction of nasal cutaneous defects following Mohs surgery. Reconstructive planning will be discussed according to defect size, depth, involved aesthetic subunit, skin characteristics, patient-related factors, and the need to preserve nasal contour and function. The reconstructive ladder—including secondary intention healing, primary closure, skin grafting, and local or regional flaps—will be reviewed with emphasis on appropriate patient and technique selection.

The presentation will focus on commonly used options for the nasal dorsum, sidewall, tip, and ala, including the dorsal nasal, bilobed, island pedicle, melolabial, and paramedian forehead flaps. Their indications, vascular basis, advantages, limitations, and potential complications will be illustrated through clinical cases. Full-thickness defects will be addressed using the three-layer principle: restoration of internal lining, structural support, and external skin cover.

By the end of the session, participants should be able to assess nasal defects systematically, select an appropriate reconstructive option based on defect and patient characteristics, recognize the principal advantages and limitations of commonly used flaps, and apply aesthetic subunit and functional principles to optimize outcomes.

Rhinoplasty surgery has been increasingly performed in recent years and is among the most commonly performed surgeries today. As a result of such a high number of rhinoplasty surgeries, complications and problems have also increased at a similar rate and revision surgeries have become important. The main limitations in revision rhinoplasty are mucosa and skin. Problems such as serious mucosa and skin losses, skin collapses due to infection and abscesses, nostril over resections, severe retractions and serious deformities due to skin necrosis are considered under the title of extreme revisions. Almost half of the rhinoplasties we perform in our clinic are revision cases. We have significant experience with such extreme revisions. We would like to share our experiences with the participants with case examples.

Trans temporal extended deep plane face lift

The modified composite-flap facelift with the FAME technique incorporates the orbicularis muscle, allowing safe release of the zygomatic cutaneous ligament and precise entry into the correct plane, while preserving all malar fat pads attached to the skin. This approach creates a stronger en-bloc composite flap that more effectively repositions the ptotic malar fat and reduces the upper nasolabial folds. Overall, it provides combined, balanced, and harmonious rejuvenation of the midface, cheek, lower face, and neck without requiring an additional midface lift procedure.

Surgical anatomy for safe face and neck lift