Minilifting technique for treatments of the lower third of the face and anterior cervical neck with tumescent anesthesia

Abstract

Minimally invasive surgical techniques with a low rate of complications and rapid return to daily activities are in high demand for dermatological procedures and include lasers, microfocused ultrasound, botulinum toxin, suture strings, and filling techniques with hyaluronic acid. The facelift, on the other hand, has been criticized for complications such as bruising, relatively slow recovery rates (lasting up to a month), facial nerve lesions, and flap necrosis. Earliest descriptions of the facelift technique described a procedure associated with skin traction and detachment. However, authors did not describe a method for SMAS plication, which is still somewhat controversial. Describe a surgical technique that reduce the signs of aging on the lower third of the face and neck with low rate of complications. The minilifting technique described herein is capable of repositioning the superficial muscular aponeurotic system (SMAS) and removing excess skin from the neck and lower third of the face with minimal detachment, local tumescent anesthesia, a few complications, and a relatively fast return to daily activities (15 days). Performance of a deep dissection and excision of part of the SMAS with posterior sutures is believed to be an optimal approach, whereas authors believe that a superficial dissection is safer and provides similar outcomes compared to deep dissection. This procedure produces extremely natural and long-lasting results.