In-Office Surgical Procedures for Prejuvenation

This review describes surgical interventions that address structural and anatomical changes in younger patients with the aim of delaying traditional rejuvenating or corrective surgery in an operative setting.

Traditionally, surgical procedures like submentoplasty and rhytidectomy are used to rejuvenate and/or correct anatomical, structural, and/or age-related defects in patients with advanced aging.

For appropriate younger patients, we describe a shift away from cutaneous, surface-level changes to procedures aimed to correct structural changes resulting from aging, trauma, or genetic manifestation, specifically addressing submental fat, plastysmal diastasis, jowling, and periorbital dermatochalasis.

Candidates are younger patients with high skin elasticity and mild structural changes.

Targeted procedures include submentoplasty, mini-facelift, and preservation-focused upper and lower blepharoplasty performed in the office, under local anesthesia for younger patients.

Emphasis is placed on compression, cold therapy, and supplements to minimize downtime and swelling.

In appropriate patients, the surgical, structural prejuvenation techniques described herein offer a proactive, durable result from procedures performed entirely in-office.