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Abstract：
Prevention of aging is mainly obtained through appropriate health practices, modulated by the genetic causes of aging. Causes of facial structural aging include gravity, volume loss, contraction of the mimic muscles and obviously biological aging of tissues. Among the very numerous new surgical technique of facial rejuvenation, we could point out: for the frontal region, obviously we are focus on the endoscopic and non-endoscopic frontal lifts. But also, we should note the transcutaneous Brow Shaping which with a well defined, step by step technique is indeed a simple way to improve a possible difficult situation; concerning the mid-face lift, as the main risk is the secondary eyelid malposition, a high Smas or a temporo-malar lift can be performed. It ensures a good temporal effect but there is nearly no improvement at the mid-pupilla level. A mid-face lift is nevertheless mandatory to achieve an efficient skin removal on the mid-pupilla line. This is performed most of the time with a complete orbicularis oculi muscle opening, and only with a small lateral opening in case of the concentric malar lift, which minimize the risk of eyelid malposition. Based on a new description of the lymphatic draining of the lower lid, a new treatment of the chemosis is proposed with a corticoid injection at infero-lateral part of the malar area, in the preperiosteal plane. For the oval, the DAO section and the suspension of the middle premasseter space beyond the anterior border of the masseter where the Smas overlies the buccal fat pad, stay efficients. Regarding the neck, the suspension of the posterior border of the platysma to the Loré\'s fascia, the digastric corset with or without a platysma corset are advanced and valuable techniques. Lately, a new option was described using a lateral skin-platysma flap to minimize platysma bands and even more recently a neck lift with fixation of the anterior platysma to the deep cervical fascia and suspension of the lateral platysma flap.
摘要：
预防衰老主要是通过适当的健康实践来实现的，由衰老的遗传原因调节。面部结构老化的原因包括重力，体积损失,模拟肌肉的收缩和明显的组织的生物老化。在众多面部年轻化的新手术技术中，我们可以指出:对于额叶区域，显然，我们的重点是内窥镜和非内窥镜额叶抬高。而且,我们应该注意到经皮眉形，一步一步的技术确实是一种简单的方法来改善可能的困难情况；关于中间面部提升，由于主要风险是继发性眼睑错位，可以进行高圣诞节或临时提升。它确保了良好的时间效果，但在中等水平上几乎没有改善。尽管如此，为了在中popilla线上实现有效的皮肤去除，必须进行中面部提升。大部分时间都是在眼轮匝肌完全开放的情况下进行的，在同心马勒提升的情况下，只有一个小的横向开口，将眼睑错位的风险降至最低。根据对下盖淋巴引流的新描述，提出了一种新的化疗方法，即在颌骨区域的下外侧部分注射皮质激素，在骨膜前平面。对于椭圆形，DAO切片和超过咬肌前部边界的中间咬肌前区的悬挂，停留系数。关于脖子,颈阔肌的后边界悬挂在Loré的筋膜上，带有或不带有颈阔肌紧身胸衣的双胃紧身胸衣是先进而有价值的技术。最近,描述了一种新的选择，使用外侧皮肤-颈阔肌皮瓣，以最大程度地减少颈阔肌带，最近还使用颈阔肌前部固定到颈深筋膜并悬吊颈阔肌外侧皮瓣。
