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Related Experiment Video

Updated: Dec 10, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Ultrasound-Assisted Rhytidectomy Including Sub-SMAS and Subplatysmal Dissection.

Richard D Gentile1

  • 1Department of Facial Plastic Surgery, Gentile Facial Plastic and Aesthetic Laser Center, Youngstown, Ohio.

Facial Plastic Surgery : FPS
|September 1, 2020
PubMed
Summary

Energy-based facial rejuvenation uses devices like lasers and ultrasound to lift skin before traditional facelifts. This approach offers benefits such as improved hemostasis and tissue tightening through neocollagenesis.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Medicine
  • Minimally Invasive Procedures

Background:

  • Energy-based devices represent an evolving category in surgical facial rejuvenation.
  • Techniques involve using lasers, radiofrequency, plasma, or ultrasound in superficial planes to elevate skin flaps prior to traditional rhytidectomy.

Purpose of the Study:

  • To review the application and advantages of energy-based devices in facial rejuvenation surgery.
  • To highlight the author's extensive experience and preferred technique using high-frequency ultrasound.

Main Methods:

  • Review of energy-based devices (laser, radiofrequency, plasma, ultrasound) for facial skin flap elevation.
  • Author's experience with over 3,000 energy-based facial rejuvenation procedures.
  • Emphasis on high-frequency ultrasound delivered via a five-ring probe for superficial and deep plane procedures.

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Main Results:

  • Energy-based devices facilitate hemostasis and dissection in challenging areas like nasolabial folds and the neck.
  • These techniques promote tissue remodeling and tightening via neocollagenesis and wound contraction.
  • Ultrasound dissectors are effective for deep cervicoplasty, subplatysmal procedures, and sub-SMAS elevations.

Conclusions:

  • Energy-based facelifting offers distinct advantages over conventional methods.
  • High-frequency ultrasound is a preferred energy modality for comprehensive facial rejuvenation, including deep plane procedures.