Enhancing the classical facelift treatment concept The peeling-assisted volume enhancing facelift concept PAVE

Surgical rhytidectomy techniques have become an indispensable part of modern concepts of facial rejuvenation during the last 20 years. Many different techniques have been described and the tendency over the last decade shows a clear trend towards less invasive surgical techniques with natural results, where the overall goal is a rejuvenated not an overstretched face. The rejuvenation or regeneration of the skin itself is an essential part of any facial rejuvenation and significantly influences the overall result; the repositioning of facial volumes and the tightening of aged skin alone cannot achieve a complete and convincing rejuvenation of the face. This article highlights the possibilities and limitations of the adjuvant intraoperative use of various peeling and autologous fat injection techniques during surgical rhytidectomy and outlines the effectiveness and safety of the peeling-assisted volume enhancing (PAVE) lift concept.