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Objectives: The application of ultrasound (US) in aesthetic surgery has been popularised due to its abilities to enhance pre- and intraoperative diagnostics, as well as eliminate the need for incisions, subcutaneous channels and spaces for tissue visualisation. The use of US provides exceptional visualisation through tissues, reducing the number of skin scars. It promotes safer operations when lifting facial and neck tissues using manipulators and lowers operation-related complications. It also expediates and enhances postoperative recovery Introduction: The increasing demand for minimally invasive austhetic procedures spurred the development of innovative techniques for rejuvenating outcomes, negating the need for extensive surgery. This study introduces a unique strategy for tissue positioning and fixation during non-invasive facelift and necklift procedures, eliminating the necessity for additional skin removal. This method employs US guidance for pre-surgical diagnosis of facial soft tissue conditions and ensures accurate tissue dissection and manipulation during the operation, as well as post-operative monitoring Materials / method: A study involving 412 female and 27 male patients, aged between 27 and 74 was conducted. The subjects underwent noninvasive facelift and necklift procedures under US control from January 2017 to February 2025. The techniques employed included SMAS pexy and altering the positioning of facial soft tissue structures using manipulators under ultrasound guidance. Extra skin folds were moved and secured in new places. The noninvasive surgical technique also involved suturing the central parts of the platysma via micropunctures using a cannula, eliminating skin incisions entirely. Additionally, later Results: Study involving 439 patients affirmed the effectiveness of US guided non-invasive facelifts and neck lifts. Various methods, such as post-operative consultations, photographic analysis, US monitoring, revealed 87% satisfaction rate, with 8% reporting moderate results. Of the 5% who underwent a secondary procedure, 89% were satisfied. 6% of patients experienced complications, all of which were successfully managed. The findings highlight the safety and effectiveness of using US in non-invasive facelifts and neck lifts, which encourages further research into the use of US in aesthetic procedures Conclusion: The US guided transposition of facial and neck tissues negates the need for additional skin removal and fixation devices like screws or Endotines. The usage of ultrasound for identifying facial and neck tissue conditions pre-surgery and for executing non-invasive procedures during facelift and necklift surgeries is gaining traction. This method ensures precise tissue repositioning, yielding natural, youthful outcomes