The No-Incision, Dual-Technique, Laser Face-Lift: A Prospective Series of 16 Patients

Abstract

Introduction: Patients seeking facial rejuvenation are looking for improved results with little downtime. The authors present results from a series of 16 patients treated with fractional carbon dioxide (CO2) laser resurfacing and laser lipolysis in the subdermal plane, as a laser face-lift. Materials and Methods: A 1064/1320 nm blend laser device was used for laser lipolysis of the lower face and neck. Full-face laser skin resurfacing using a fractionated CO2 laser was then completed. Six-month results were analyzed using before and after photosets and a questionnaire. Both the patients and 2 independent cosmetic surgeons rated the photosets for improvements. Results: Based on questionnaire results, 63% of participants would recommend the laser face-lift procedure to a family member or friend. Approximately 73% thought the procedure made them look younger. Sixty-nine percent thought the experience was positive, 19% had no strong feelings either way, and 13% reported a negative experience. Eighty-seven percent reported downtime of 6 days or less, with 56% noting less than 4 days of downtime. Sixty-two percent of the patients said the procedure met their expectations. There were no significant complications. Conclusions: Combining laser lipolysis and fractionated CO2 laser resurfacing into a single procedure for facial rejuvenation can provide noticeable improvements in neck and jawline contour, dyschromias, skin tightness, and overall skin tone and texture. The procedure is safe when performed by a trained surgeon using a standardized approach. Overall, patient satisfaction was high and downtime was minimal.