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The SMAS is clinically important in facial plastic surgery for rhytidectomy (facelift procedure).During this procedure, the SMAS is accessed through an arch-shaped incision anterior to the ear; a portion of the SMAS is then excised and the remaining SMAS is stretched by drawing it posterior-ward and suturing it, thus making the skin of the face which overlies the SMAS taut.
The facial muscles are just under the skin (subcutaneous) muscles that control facial expression. They generally originate from the surface of the skull bone (rarely the fascia), and insert on the skin of the face. When they contract, the skin moves. These muscles also cause wrinkles at right angles to the muscles’ action line. [2]
The risorius muscle is a highly variable muscle of facial expression. It has numerous and very variable origins, and inserts into the angle of the mouth. It receives motor innervation from branches of facial nerve (CN VII). It may be absent or asymmetrical in some people. It pulls the angle of the mouth sidewise, such as during smiling.
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The platysma muscle is a broad sheet of muscle arising from the fascia covering the upper parts of the pectoralis major muscle and deltoid muscle. Its fibers cross the clavicle, and proceed obliquely upward and medially along the side of the neck. This leaves the inferior part of the neck in the midline deficient of significant muscle cover. [1]
The zygomaticus minor muscle is a muscle of facial expression. It originates from the zygomatic bone, lateral to the rest of the levator labii superioris muscle, and inserts into the outer part of the upper lip. It draws the upper lip backward, upward, and outward and is used in smiling. It is innervated by the facial nerve (VII).
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The zygomaticus major muscle is a muscle of the face. It arises from either zygomatic arch ; it inserts at the corner of the mouth. It is innervated by branches of the facial nerve (cranial nerve VII). It is a muscle of facial expression, which draws the angle of the mouth superiorly and posteriorly to allow one to smile. Bifid zygomaticus ...