The deep cervical fascia neck lift

Area of Science:

• Plastic Surgery
• Facial Anatomy
• Aging Research

Background:

• Recurrence of neck bands is a common issue in facelift surgery.
• Aging causes skin excess and Superficial Musculoaponeurotic System (SMAS) retraction, leading to visible aging signs.
• Current facelift techniques may exacerbate discrepancies between skin and SMAS, contributing to recurrence.

Purpose of the Study:

• To propose a new aging analysis and facelift technique to improve stability and prevent neck band recurrence.
• To highlight the importance of preserving the SMAS during facelift procedures.
• To introduce the Face Recurve Concept based on MRI studies of aging mimic muscles.

Main Methods:

• A novel facelift approach focusing on preserving the SMAS.
• Sub-skin dissection beyond marionette folds and paramedian neck bands.
• Horizontal platysma section at hyoid height, followed by botulinum toxin injection.
• Posterior skin transposition and fixation to deep cervical fascia using resorbable barbed threads.

Main Results:

• The technique demonstrated more stable facelift results in 32 operated patients over one year.
• Reduced post-operative swelling was observed.
• Definitive recreation of the cervico-mental crease without pre-auricular skin tension.

Conclusions:

• Preserving the SMAS is crucial for facelift stability.
• The Face Recurve Concept effectively addresses SMAS retraction and prevents platysma band recurrence.
• This technique offers improved aesthetic outcomes and patient satisfaction.