Tunnelization Procedure: Nonvascular Traumatic Approach on Rhytidoplasty

Facial rejuvenation surgery is the most complex procedure to treat the aging face. To remove excess skin caused by flaccidity is a constant challenge to provide a smooth facial appearance. Such surgery may be performed in both female and male patients because everybody later in life presents with some indication for it. Although a face lift does not provide eternal youth, at least the surgery can give to patients a palliative result that may last for several years, perhaps even decades. My surgical procedure presented a significant change in 1999 when I published my new concepts for abdominoplasty, which is a combination of traditional abdominoplasty with liposuction technique popularized as lipo-abdominoplasty. The main scientific contribution I described is to preserve the perforator vessels during abdominoplasty which work as multiple pedicles to the remaining abdominal panniculus, a major surgical improvement. As I concluded that this is a very important procedure, I employed the same surgical principles in other regions of the human body, including during rhytidoplasty, to avoid extensive cutaneous undermining. Ever since I introduced the new surgical principles for abdominoplasty in combination with liposuction in my face lifts, I have achieved a minimal rate of complications as well as a smooth facial contour.