AI Article Synopsis

  • The superficial fascial system (SFS) and superficial musculoaponeurotic system (SMAS) are important anatomical structures relevant to surgeries like liposuction and facelifts, which have been extensively studied.
  • Despite the SMAS being introduced by Tessier in 1974, the origins of the SFS description are unclear.
  • Research into Andreas Vesalius’ 1543 work reveals that he accurately described these structures as the "membrana carnosa," indicating he understood their functions and differences long before their formal naming.

Article Abstract

Because of their relevance for liposuction and rhytidectomies, respectively, the superficial fascial system (SFS) and superficial musculoaponeurotic system (SMAS) have been thoroughly studied over the past decennia. Although it is well known that the SMAS concept was introduced by Tessier in 1974, it remains unknown who first properly described the stratum membranosum of the SFS. In light of the 500th birthday of Andreas Vesalius (1515-1564), we searched his 1543 masterwork De Humani Corporis Fabrica Libri Septem and related work for references to these structures. We found ample reference to both structures as the membrana carnosa (or fleshy membrane) in his works and concluded that Vesalius recognized the extension, nature, and functions of the stratum membranosum of the SFS, as well as its more musculous differentiation as the SMAS in the head and neck area, and the dartos in the perineogenital area. In doing so, Vesalius recorded most details of the SFS and SMAS concepts avant la lettre.

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Source
http://dx.doi.org/10.1097/SAP.0000000000000667DOI Listing

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