Multi-modal treatment strategy for achieving an aesthetic lower face

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Minimally Invasive Procedures

Background:

• Growing demand for youthful facial aesthetics drives interest in minimally invasive procedures.
• Minimally invasive options offer shorter downtime and fewer complications compared to traditional surgery.
• Procedures include botulinum toxin type A (BoNTA) injections, fillers, liposuction, lipolysis, thread lifting, and fat grafting.

Purpose of the Study:

• To introduce an effective method for lower face aesthetic enhancement.
• To utilize a combination of minimally invasive procedures for optimal results.

Main Methods:

• A cohort of 94 patients underwent simultaneous LAL, SAL, and thread lifting from March 2017 to March 2019.
• Ancillary procedures like BoNTA injections, hyaluronic acid fillers, and buccal fat pad (BFP) removal were selectively applied.
• Patient conditions dictated the inclusion of supplementary treatments.

Main Results:

• Postoperative patient satisfaction was assessed using a four-point scale.
• Approximately 83% of patients reported satisfaction with the aesthetic outcomes.
• Common dissatisfaction reasons included prolonged recovery and undercorrection; overcorrection led to skin depression.

Conclusions:

• Simultaneous LAL, SAL, and thread lifting, with adjunctive BoNTA, fillers, and BFP removal, yields consistent aesthetic results.
• This combined minimally invasive technique effectively reshapes the lower face.
• The approach offers reliable aesthetic improvements for the lower facial region.