Resuspension of Mild to Moderate Jawline Laxity Using a Minimally Invasive Technique

Abstract

BACKGROUND. A practical approach for superficial musculoapponeurotic system plication and neck lift is indicated for early aging changes of jawline. METHODS. A single or series of small punches or single incisions at the earlobe and then minor undermining to lift the superficial musculoapponeurotic system followed by removal of skin laxity in neck and jowl result in a seamless scar via a simple V to Y closure. RESULTS AND CONCLUSION. A minimally invasive procedure was performed easily under local anesthesia in an office/ ambulatory surgery center setting.

Anterior Face-Lift for Correction of Middle Face Aging Utilizing a Minimally Invasive Technique

“…Recently, these minimally invasive approaches have been successfully used in a large number of patients to address the facial rejuvenation of the lower third of the face. 17 Advantages included the least amount of recuperating time with minimal complications and excellent long-lasting results. Either midfacial aging results from the downward migration of the malar fat pad producing hollowness in the midfacial and infraorbital areas and deepening of the meilolabial folds that accentuates the aging process or it can be caused by the aging process creating folds of loose skin without significant fat displacement.…”

“…More invasive and extensive facial rhytidectomy techniques are being gradually replaced with minimally invasive rejuvenation techniques focused on specific facial areas with the least postoperative discomfort, short recovery time, and minimal postoperative complications. Recently, these minimally invasive approaches have been successfully used in a large number of patients to address the facial rejuvenation of the lower third of the face 17 . Advantages included the least amount of recuperating time with minimal complications and excellent long‐lasting results.…”

A Novel Specialized Suture and Inserting Device for the Resuspension of Ptotic Facial Tissues

“…Patients with jawline laxity are seen in consultation, and the age‐derived contour changes are highlighted. This minimally invasive procedure is ideally suited for a relatively young patient with laxity in the jawline and neck and early platysmal banding 4 . This technique is especially suited to patients who present clinically with early blunting of the mandibular angle with or without laxity of skin in the anterior neck that is a direct anatomic result of a division in the patient's platysmal muscle along the midline.…”

Re: Webster-Type Short Flap Face-Lifts versus Submental Rhytidectomy

“…The four references to Richard Webster's contributions to face‐lift surgery listed in the recent article by Bisaccia et al 1 . on a “minimally invasive technique” are of great import to dermatologic rhytidectomy surgeons, as are several of the other works referenced.…”

“…Submental incisions and excisions of excess integument are easily disguised in the submental fold to virtual invisibility. I would add all such procedures were performed without “intravenous conscious sedation in an ambulatory surgical suite” 1 but in my own office setting. Tumescent facial anesthesia with nerve blocks would now be my own modus operandi 10,11 for either of these procedures, that is, full face or submental rhytidectomy.…”