Abstract

Objectives: Neck rejuvenation including improved skin tightening and tissues repositioning is one of the most commonly issue in aesthetic practice. Due to ageing process or only as a genetic landmark, poorly defined cervicoangle may be a concern for the aesthetic patient. Treatment options include extended deep plane facelifts but many times patients are asking for more a stepwise approach in order to avoid long recovery and scarring. We propose a treatment plan for skin tightening and tissue reposition with a suspension system and radiofrequency assisted liposuction, done under local anesthesia with pun Materials / method: A cohort of 63 patients with a median age of 41,2 years were operated by a single surgeon in a private practice accredited facility from January 2021 to July 2022. All cases were documented for associated medical issues and photos were taken preoperatively with patients consent. Mean follow up was 8 months (2 to 12 months). Single dose of antibiotic was administrated at the time of the microincision done with a puncture device. Preoperative bleeding control included 1g of tranexamic acid. All the surgery were done exclusively under local anesthesia. Suture suspension technique included anchori Results: All the patients reported the surgery as completely painless and as a good experience they would repeat it if needed. The overall complication rate was 3%(n=3). Seven patients had prolonged edema for 3 months after the surgery and five patients reported hypoesthesia for more than 3 months after the surgery. There were no case of neuropraxia. Three patients were low-responders to the tissue contraction with Facetite device. One patients has limited tissue reaction to the suture material that required anti-inflammatory treatment without needing suture removal. Conclusion: Combing suture suspension and radiofrequency assisted liposuction improvement of the cervicomental angle may be obtained with minimal downtime and high grade of satisfaction among patients.