Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Otolaryngology - Head and Neck Surgery
  •  Cardiovascular Surgery
  •  Transplant Surgery
  •  General Surgery
  •  Colon and Rectal Surgery
  •  Breast Surgery
  •  Minimally Invasive Surgery
  •  Gynecological Surgery


Citation: Clin Surg. 2017;2(1):1684.Case Report | Open Access

Aesthetica in Practice: The Flick Lift in Assisting Closure of Large Cutaneous Excisional Defects on Face

Michael F. Klaassen, James D. Frame and Paul Levick

Department of Plastic Surgeon, University of Auckland, New Zealand
Department of Aesthetic Plastic Surgery, Anglia Ruskin University, UK
Honorary Senior Lecturer Anglia Ruskin University, UK

*Correspondance to: James D. Frame 

 PDF  Full Text DOI: 10.25107/2474-1647.1684


Aesthetica is a term being used to describe the aesthetic reconstruction of congenital or acquired deformity. Plastic Surgeons seek to deliver function, form and cosmesis during any reconstruction but Cosmetic Surgery techniques commonly used in the private sector have evolved far in advance of what is delivered in state funded hospitals, meaning that there is room to improve aesthetic outcomes in select patients. Extensive facial solar damage and malignancy is commonly seen in the elderly and if the surgery option is to be taken then wide excisional defects can create a challenge for the reconstructive surgeon. Primary closure may be impossible, local flaps may be under undue tension and sutures may ‘cheese-wire’ the tissues. Skin grafts may succeed at the expense of poor cosmesis and delayed healing at donor site. The Superficial Musculo-Aponeurotic system (SMAS) is routinely used to relocate and provide fixation of skin and superficial fat during face-lifting. This principle can be applied to take the tension off skin closures particularly in the elderly patient, preferentially under local anaesthetic, with very acceptable cosmetic outcomes. We have adapted the minimally traumatic, low risk, flicklift technique used by Cosmetic Surgeons to assist in tension free skin closure of large face excisional skin defects following skin cancer resection.


Facelift; Flicklift; Skin cancer; Cosmetic surgery; Reconstruction face

Cite the article

Klaassen MF, Frame JD, Levick P. Aesthetica in Practice: The Flick Lift in Assisting Closure of Large Cutaneous Excisional Defects on Face. Clin Surg. 2017; 2: 1684.

Search Our Journal

Journal Indexed In

Articles in PubMed

Automated Sagittal Craniosynostosis Classification from CT Images Using Transfer Learning
 PubMed  PMC  PDF  Full Text
Sildenafil Transiently Delays Early Alveolar Bone Healing of Tooth Extraction Sockets
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Os Odontoideum as a Cause of Cervical Cord Injury in a Patient with Refractory Epilepsy
 Abstract  PDF  Full Text
Use of Accessible Blood Filter for Postoperative Cell Salvage in Cardiac Surgery
 Abstract  PDF  Full Text
View More...