Commentary on: Bilayered Structure of the Superficial Facial Fascia.

By Dicembre 19, 2017 Gennaio 24th, 2020 No Comments

Mohammed Alghoul, MD

Aesthetic Surgery Journal, Volume 37, Issue 6, 1 June 2017, Pages 637–639

Published: 02 March 2017

This is an intriguing anatomic study from South Korea by Kang et al describing the bilayered nature of the superficial facial fascia through dissection of 20 injected fresh cadavers.1 The authors focused their dissection on the superficial musculoaponeurotic system (SMAS) and the superficial temporal or temporoparietal fascia (TPF) and showed that both can be easily split into superficial and deep layers, separated by a loose areolar plane. Several interesting findings of this elegant and beautifully illustrated cadaver study are worth summarizing here. The superficial layer of the SMAS is continuous with the orbicularis oculi except for the orbital portion, which remained attached to the deep layer. The deep layer of the SMAS was in continuity with the orbital portion of the orbicularis oculi and the platysma. The suborbicularis oculi fat (SOOF) was sandwiched between the…