Scar-Minimizing Full-Face Rejuvenation: A Novel Multiplanar and Multivector Approach Using Combined Forehead,...

Area of Science:

• Plastic Surgery
• Facial Rejuvenation
• Aesthetic Surgery

Background:

• Traditional facelifts may not address midfacial descent or multivector ptosis effectively.
• Demand for natural results with minimal scarring is increasing.
• A novel multiplanar, triaxial facelift approach is described.

Purpose of the Study:

• To evaluate the clinical effectiveness and safety of a scar-concealing, multiplanar facelift.
• To assess the integration of forehead lift, transoral midface lift, and limited-scar lower face/neck lift.
• To determine if the combined strategy achieves consistent midfacial elevation, natural harmony, minimal scarring, and low morbidity.

Main Methods:

• Retrospective study of 216 female patients (June 2021 - January 2024).
• Technique utilizes intraoral, retroauricular, and scalp incisions for multiplanar access.
• Midfacial repositioning via dual-plane transoral fixation; lower face/neck contouring via subplatysmal and sub-SMAS dissection.

Main Results:

• Mean surgical duration: 167 minutes; average follow-up: 18.5 months.
• Consistent midfacial elevation, improved contour, and enhanced facial harmony observed.
• Complications were minimal and transient (e.g., temporary facial nerve weakness, dimpling), resolving without permanent sequelae.

Conclusions:

• The scar-concealing multiplanar facelift is a reliable option for comprehensive facial rejuvenation.
• Achieves consistent midfacial elevation and natural facial harmony with minimal visible scarring.
• Demonstrates durable aesthetic improvement and a low complication rate, supporting its safety and effectiveness.