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Page 18 of 21 Ramirez. Plast Aesthet Res 2020;7:25 I http://dx.doi.org/10.20517/2347-9264.2019.78

TRI-PLANAR

Figure 25. Frontal views, before and after of a 56-year-old edentulous patient with two previous standard face lifts and an anterior
hairline brow lift

Figure 26. Lateral view of the same patient. Before and after. Observe that she lost the sideburns. The lack of mandibular support is
evident. Patient had shortening of the forehead, endomidface, and cervico-facial lift, deep subplatysmal cervicoplasty with fat removal,
digastric shaving and partial salivary gland excision. A mandibular matrix implant system was also used. The side burn was recreated
with a scalp flap. A lip lift was performed. Eyelid ptosis repair done. Skin only lower lid blephoroplasties were also done

Figure 27. Frontal views of a 54-year-old patient with most of the changes of aging. The comparative before and after photographs
demonstrates the significant improvement that can be obtained with a comprehensive facial rejuvenation done using correct planes,
vectors of pull, volumetric changes and other ancillary procedures