On September 4th 2020, the first MAFAC Research Meeting took place. This virtual meeting was unique as it was the very first meeting with leading international plastic surgeons and anatomists to focus exclusively on discussing facelift anatomy in detail. This meeting was recorded and is available for members of the MAFAC Academy.
On September 4th, 2020 at 7 PM AEST, more than twenty plastic surgeons and anatomists from nearly all continents joined to take part in the first MAFAC Research Meeting. This unique event provided quality discussions on facial anatomy concepts that challenge traditional beliefs and anatomical teaching. It featured the preliminary findings of the research by the MAFAC Academy since the beginning of 2020.This three-hour meeting was recorded and edited to retain 2h15min of high-quality discussion, divided into the 12 topics, available through MAFAC Academy. A high level of anatomical understanding is necessary to follow the detailed discussion of the faculty, which is a unique way of learning. The videos will indirectly indicate what level of understanding the viewer has on the relevant anatomy necessary to perform facelift procedures, which is of paramount importance. However, as one will conclude after watching the videos, some rudimental anatomical subjects still remain unanswered by conventional descriptions and teaching. The researchers of the MAFAC Academy will continue to work to clarify this anatomy to pave the way to safer and more effective facelift procedures.
Firstly, the fourth layer of the face and neck was debated intensively, causing a re-evaluation of the salivary glands, nerves and deep fat in relation to the deep fascia and the SMAS. Based on a critical review of literature as well as the preliminary cadaver dissections, the glands, facial nerve branches and facial vessels are suggested to be situated inside the fourth layer, not covered by the deep muscular fascia.Secondly, the attachment of the platysma to the deep fascia is reconsidered in the light of the findings of the fourth layer, causing a re-evaluation of the CMAS ligament, mandibular ligaments and platysmal banding. The discussion on the segmental function and innervation of the platysma closed the platysma session.Lastly, various extra topics were discussed. The architectural built of the malar fat pad and its relationship to the nasolabial fold was presented as well as the various techniques of lifting it with analysis of the longevity, advantages and drawbacks of each technique, which was never done before. Subsequently, the significance of the SMAS in the midcheek as well as its contribution to aging were discussed, as it is not clear whether the muscles of the SMAS and modiolus descend with aging or not. Then, the position and contributing volumes to the jowl were debated. Finally, the transverse facial artery perforator and the necessity/possibility of sparing this vessel in wide temple, midcheek and neck undermining cases was discussed
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