Subcutaneous Face and Neck lift: A Traditional Method With Definite Effects Among Asians

Abstract

Background The mainstream face lifts in western countries always involve the SMAS treatment. Meanwhile, subcutaneous face and neck lift is wildly applied among Asians. Objectives To evaluate outcomes of subcutaneous face and neck lift, including patient-reported and 3D measurement outcomes, and report on details of surgical procedures. Methods Patients who received a subcutaneous face and neck lift from January 2017 to June 2019 were asked to complete FACE-Q scales, and facial information was collected by the Vectra 3D imaging system preoperatively and postoperatively. Volume changes in midface and possible displacement of facial landmarks were measured. The range of dissection and the amount of skin removed were recorded intraoperatively. Results In total, 119 patients (median age 46 years, interquartile range 40 - 53 years) received a subcutaneous face and neck lift. Among them, 88 patients completed pre- and postoperative FACE-Q scales. Patients’ satisfaction with facial subunits improved and wrinkles were significantly relieved (p＜0.001). Nineteen patients (38 midface sides) completed 3D image data collection. Postoperatively, zygomatic volume was increased, while nasolabial and lateral cheek volumes were decreased, with the volume change of 2.2 ± 1.3 mL. Mouth, nose, and eye displacements were negligible postoperatively. The widths of skin removed at the middle temporal, front of the sideburns, upper helix, earlobe, and retro-auricular were 13.8±1.9 mm, 19.6±3.1 mm, 27.6±3.9 mm, 16.4±3.9 mm, and 32.2±4.0 mm, respectively. Conclusions Our subcutaneous face and neck lift was effective in relieving nasolabial sagging, improving wrinkles, and achieving facial rejuvenation.

Subcutaneous Face and Neck Lift With Prefabricated Skin Excision: A Practical Technique With Favorable Results in Young and Middle-Aged Chinese Patients

“…Meanwhile, our previous study using 3D imaging measurements suggested that this technique also improved the zygomatic volume and decreased the nasolabial and lateral cheek volume. 9 Facial fat is not homogeneous but rather a series of compartments separated by specific fibrous septa, which explains the compartment-specific deflation observed during aging. 10,11 Although a subcutaneous face and neck lift does not directly pull up the superficial fat similar to a SMAS-associated facelift, it helps relieve the appearance of sagging.…”

Incidental Bystander or Essential Culprit: A Systematic Review of Bacterial Significance in the Pathogenesis of Breast Implant-Associated Anaplastic Large Cell Lymphoma

“…However, several possible mechanisms have been proposed. Among the most commonly cited hypotheses are genetic predisposition (i.e., DNMT3A, JAK-STAT3 pathway, and mutations in TP53), bacterial biofilm (BF), chronic inflammation, and digestion of particulate debris shed from textured breast implants [ 6 ].…”

Facial Contouring after Permanent Filler Removal with Combined Facelift and Fat Grafting: A Case Series

“…Since the introduction of filler injection procedures for cosmetic and reconstructive purposes, it has become widely popular with patients seeking treatment for signs of aging with a quick return to daily life. 1–3…”

“…Since the introduction of filler injection procedures for cosmetic and reconstructive purposes, it has become widely popular with patients seeking treatment for signs of aging with a quick return to daily life. [1][2][3] According to some authors, the negative reactions of permanent fillers are produced by a low-grade bacterial infection surrounding foreign substances. The development of related fibrosis is determined by the implant's physical attributes and inherent traits.…”