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During a Skoog or composite dissection, the skin and SMAS are lifted up as one unit and pulled in the same direction. This technique can be performed more quickly and results in a stronger flap that is composed of both SMAS and skin.


Potential problems with this type of dissection are that the SMAS and skin age differently and can move in somewhat different directions as they age. Therefore, moving the skin and the SMAS in exactly the same direction can limit the options of the surgeon as well as the quality of the result.

During a lamellar dissection, the skin and SMAS are lifted up as individual layers and moved in two directions along different routes. One of the advantages of a lamellar dissection is that the SMAS and skin can be moved in somewhat different directions and with different levels of tension, allowing each layer to be moved optimally to create the best result. The downside to this technique is that it is more time-consuming and can be technically challenging.

Tissue Dissection, Sistine Facial Plastic Surgery

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Practice Policy Update Regarding COVID-19

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Important message to all of our patients

Dr. Leong and his team are happy to announce, we are open and seeing patients for all surgical and non-surgical consults. The summer surgery schedule is rapidly filling up. Please call or contact us today to schedule your consultation.

We are following all state and federal guidelines for your protection and safety, including but not limited to: wearing gloves and masks, providing hand sanitizer, frequent cleaning, wiping down and sanitizing of all contact surfaces. As well as will maintain all standard Social Distancing protocols. Patients should not come in if achy, feverish or coughing or COVID positive test for active infection.

We are still utilizing virtual consultations, including to obtain initial information about treatment plans for new and returning patients. Our goal is to find the best balance between being available to our patients and maximizing their safety.

Please call our office or select the “Video Consultations Tab” to schedule a video discussion.

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