Retaining ligaments of the face: review of anatomy and clinical applications.

@article{Alghoul2013RetainingLO,
  title={Retaining ligaments of the face: review of anatomy and clinical applications.},
  author={Mohammed S. Alghoul and Mark A. Codner},
  journal={Aesthetic surgery journal},
  year={2013},
  volume={33 6},
  pages={
          769-82
        }
}
The retaining ligaments of the face are important in understanding concepts of facial aging and rejuvenation. They are located in constant anatomic locations where they separate facial spaces and compartments. Their superficial extensions form subcutaneous septa that separate facial fat compartments. Their main significance relates to their surgical release in order to achieve the desired aesthetic outcome. Furthermore, they have a sentinel role in their anatomic relationship to facial nerve… 

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References

SHOWING 1-10 OF 83 REFERENCES
Anatomicohistologic study of the retaining ligaments of the face and use in face lift: retaining ligament correction and SMAS plication.
TLDR
Surgical correction of the retaining ligaments and plication of the superficial musculoaponeurotic system (SMAS) to reposition the structures that have descended with gravitation are discussed and excellent aesthetic results and a high level of patient satisfaction were encountered.
Surgical Anatomy of the Midface as Applied to Facial Rejuvenation
TLDR
The conclusion reached is that ptosis of the malar fat pad can be corrected safely and effectively utilizing either the lower lid blepharoplasty approach or temporal prehairline incision.
The Retaining Ligaments of the Cheek
  • D. Furnas
  • Medicine, Biology
    Plastic and reconstructive surgery
  • 1989
TLDR
The zygomatic ligaments (McGregor's patch) anchor the skin of the cheek to the inferior border of the zygoma just posterior to the origin of the Zygomaticus minor muscle; the mandibular ligaments tether the overlying skin to the anterior mandible; these four ligaments are useful as anatomic landmarks during facial dissections.
Surgical anatomy of the ligamentous attachments of the lower lid and lateral canthus.
TLDR
The superficial fascia of the lateral orbital region has a continuous connective tissue structure linking the temporoparietal fascia and orbicularis fascia to the lateral canthal tendon by means of the tarsal plate connection.
The Retaining System of the Face: Histologic Evaluation of the Septal Boundaries of the Subcutaneous Fat Compartments
TLDR
These findings support the concept that subcutaneous fat is compartmentalized, specifically by fascial condensations that travel from superficial fascia to dermis, which form an interconnecting framework that limits shearing forces on the face.
Tear trough deformity: review of anatomy and treatment options.
TLDR
The authors outline the current understanding of the tear trough anatomy; describe multiple classification systems, which provide an objective means of evaluating the deformity and aid the surgeon in choosing appropriate treatment options; and review surgical and nonsurgical techniques for correcting the tearing trough deformity.
Surgical Anatomy of Retaining Ligaments in the Periorbital Area
TLDR
The aim of this study was to elucidate an anatomic detail of ligamentous attachments in the periorbital areas of Korean cadavers and to knowledge of the retaining ligaments is conducive to performing the midfacial rejuvenating surgery.
Relationship of the Zygomatic Facial Nerve to the Retaining Ligaments of the Face: The Sub-SMAS Danger Zone
TLDR
Despite anatomical variation, the main zygomatic and upper masseteric retaining ligaments create a safe passage in between, through which aZygomatic facial branch passes deep, where a Zygomatic branch becomes superficial and vulnerable.
SMAS fixation to the facial skeleton: rationale and results.
TLDR
Five hundred consecutive face lifts involving deep fixation of the submucosal aponeurotic system flap to the periosteum of the zygoma were reviewed for complications and side effects, confirming the safety of this method.
Surgical Anatomy of the Ligamentous Attachments in the Temple and Periorbital Regions
TLDR
The anatomy of the deep attachments of the superficial fasciae within the temporal and periorbital regions is documents to allow the surgeon to use the tissue planes and soft-tissue ligaments as intraoperative landmarks for the vital neurovascular structures.
...
...