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Ultrasonic Deep-Plane Neck Lift.

Richard D Gentile¹

¹Gentile Facial Plastic and Aesthetic Laser Center, Youngstown, Ohio.

Facial Plastic Surgery : FPS

|December 20, 2023

Summary

Ultrasonic deep-plane neck lift uses high-frequency ultrasound to emulsify fat, enabling precise lifting and repositioning of facial tissues. This advanced technique offers improved safety, hemostasis, and long-term skin tightening for facial rejuvenation.

Area of Science:

Aesthetic surgery
Medical technology
Ultrasound applications

Background:

Facial rejuvenation often involves addressing superficial musculoaponeurotic system and subplatysmal tissues.
Conventional facelifts may have limitations in specific areas and long-term results.
High-frequency ultrasound has a proven safety profile for subcutaneous applications.

Purpose of the Study:

To introduce and evaluate the ultrasonic deep-plane neck lift as a novel approach to facial rejuvenation.
To explore the benefits of ultrasound technology in enhancing surgical precision and outcomes.
To assess the efficacy of ultrasound-assisted techniques for tissue manipulation and remodeling.

Main Methods:

Utilizing high-frequency ultrasound with specialized probes (2.2, 2.9, 3.7 mm) for fat emulsification in superficial and deep planes.

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Employing tumescence for soft tissue manipulation, similar to liposuction.

Performing scalpel- and scissor-free undermining facilitated by ultrasound-induced emulsification.

Main Results:

Achieved emulsification of fat in both superficial and deep planes, allowing for tissue loosening, lifting, and repositioning.
Demonstrated hemostasis and enabled precise, minimally invasive undermining, particularly in challenging areas like the perioral region and distal neck.
Observed long-term skin remodeling and tightening beginning around 8 weeks post-procedure, continuing for up to a year.

Conclusions:

Ultrasonic deep-plane neck lift offers a safe and effective method for facial rejuvenation, enhancing surgical accuracy and patient outcomes.
The technology facilitates minimally invasive procedures with reduced reliance on traditional cutting instruments.
This energy-based approach provides significant long-term tightening and remodeling, surpassing conventional facelift results in some aspects.