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Question 8#

Which of the following techniques of facelift has the highest rate of facial nerve damage?

a. Subcutaneous plane
b. Deep plane
c. Minimal access cranial suspension (MACS) lift
d. Sub-superficial musculo-aponeurotic system (SMAS)
e. Subperiosteal

Correct Answer is B


Deep plane. The facial nerve branches travel in the sub-SMAS plane. The deep plane technique requires release of the facial ligaments and resuspension between the branches of the facial nerve and thus carries the highest rate of damage. The subperiosteal plane is at all times deep to the nerve.