Abstract

Objectives: This technique, blending aspects of the Extended Deep-Plane and High Lateral SMAS Facelifts, aims to optimize outcomes while minimizing risks and recovery duration. The term "Preservation facelift" refers to limited skin dissection in the face and neck areas to reduce complications while achieving extended deep plane facelift results Introduction: Facelift surgery has witnessed a significant surge in popularity, particularly in the context of social media influence and heightened aesthetic awareness. In response to evolving patient preferences for less invasive procedures with faster recovery times, the Preservation Facelift technique has emerged as a promising approach. Materials / method: It also aims to preserve anatomical structures as much as possible. The "Preservation Facelift with a Twist" presents a unique maneuver to deepen the submandibular space. The "twist" of the procedure corresponds to placing a rotating pedicled SMAS flap along the jawline. This maneuver aims to define the gonial angle and the jawline. Better neck contouring is achieved through more conservative methods such as the "platysma hammock" with unique quilting sutures. This quilting technique will cable the lateral platysma flap to the mastoid process fascia. Results: Through a retrospective analysis of 134 patients undergoing face and neck lift procedures, we compared outcomes between Preservation Facelift and Deep-plane Facelift. Results indicated shorter drainage durations and lower complication rates in the Preservation Facelift group, underscoring its efficacy and safety Conclusion: While our study provides valuable insights into the Preservation Facelift technique, Future research should incorporate objective outcome measures such as patient-reported satisfaction surveys to further elucidate its benefits. Overall, the Preservation Facelift with a Twist represents a nuanced approach to facelift surgery, prioritizing both aesthetic refinement and patient safety in pursuit of natural-looking results.