Objectives: A simple graded approach to the management of heavy neck and platismal bands will be presented, with criteria for patient selection and options of non surgical treatment to enhance the surgical results

Introduction: Ratinale of treatment for the patients not wishing a facelift but requiring neck treatment

Results: photographs and video will be presented

利益冲突声明

您有否接受任何资金来支持研究这个主题？
否

您是否接受过关于这项研究的任何酬金或其他报酬？
否

你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
否

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。

Objectives: The main and more frequent problem in face lift is platysma bands, bitterness and naso-jugal folds recurrence.

To improve face lift stability, a new aging process analysis is now proposed.

Introduction: The visible sign of face aging is skin excess. SMAS retraction is a much less visible sign. Nevertheless, botulinum toxin injection elongates muscles of the SMAS and rejuvenates the face. In the Face Recurve Concept, MRI studies prove the mimic muscles retraction that comes with aging.
Face lift techniques that are used today include SMAS plication, traction or excision, which increases discrepancy between the envelop, the skin and the core, the SMAS.
As skin excision is poorly efficient because performed posteriorly, far from the anterior skin excess located at the medial platysma band or bitterness fold, the association to SMAS retraction exacerbates the gradient difference between envelop and core.

This analysis shows first of all that it is paramount to preserve the SMAS.
Secondly, that the sub-skin dissection has to be executed moving beyond the paramedian folds.
Then permanent tensor threads anchored in the malar, parotid and sternomastoid aponeurosis easily flatten the folds and reposition sub cutaneous tissue excess backward to the SMAS.
No action is performed on the smas, only an horizontal section of the platysma at the hyoid height will avoid platysma band recurrence. A botulinum toxin injection performed herein just after blocks muscle regeneration.
35 patients have been operated on a one year period.
Results are a lot more stable and swelling is lowered down to the minimum.

利益冲突声明

您有否接受任何资金来支持研究这个主题？
否

您是否接受过关于这项研究的任何酬金或其他报酬？
否

你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
否

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。

利益冲突声明

您有否接受任何资金来支持研究这个主题？
否

您是否接受过关于这项研究的任何酬金或其他报酬？
否

你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
否

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。

Objectives: To illustrate a novel technique for facial rejuvenation with power-assisted liposuction, lipofilling and loops (PALLL) using a minimally invasive approach, whilst achieving a maximal result.

Introduction: I will be presenting my experience with a new concept for facial rejuvenation using a minimally invasive approach. In 2013, I presented at IMCAS for the first time on my technique on power-assisted face and neck lift. As in 2013, the pillars of my technique remain the creation of a subcutaneous plane by tumescent infiltration, followed by extensive tunnelization in the same plane to allow matrix modelling according to my principle of power assisted liposuction and lipofilling (PALL).

Materials / method: Following infiltration and tunnelization, liposuction of excess submental fat and jowls using power-assisted liposuction is done to better define the mandibular axis and cervicomental angle. Where necessary, I perform a limited undermining and resection of excess skin through a pre-auricular incision with en-bloc traction of the skin/SMAS unit and SMAS plication. After 2013, I added the use of loops in my practice in combination with power-assisted liposuction and lipofilling (PALLL) to treat platysmal bands and tighten the face/neck without opening nor undermining the neck.

Results: I applied this technique on 234 patients. All the patients were discharged on the same day following surgery. There were minimal complications, even with smokers.

Conclusion: The technique has several advantages including a reduced operative time, reduced complications and excellent esthetic results in combination with lipofilling. It constitutes a good indication for smokers, and for recurrent skin laxity following a previous facelift, with sustained long-term results.

利益冲突声明

您有否接受任何资金来支持研究这个主题？
否

您是否接受过关于这项研究的任何酬金或其他报酬？
否

你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
否

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。

Objectives: Background: Face imperfections such as ptosis of the eyebrows and prominent forehead may be found both in young adults, due to a familial characteristic, and in elderly people as a sign of ageing. According to pathogenesis, the way and invasiveness of treatment change: from para-surgical procedures (ideal for dynamic wrinkles) to real operations: (preferable in case of static rhytid). Brow lift, by reducing the forehead length, aims to give harmony to the superior one third of the face, preserving its morphology and functionality. Despite a growing trend of endoscopic procedures, open techniqu

Introduction: Objective: Describing the main brow lift approaches and their applications in differently featured patients according to the senior author’s experience in a selected population

Materials / method: Methods: Several brow lift techniques have been proposed over years. Our surgical open approaches, start from an accurate clinical evaluation, supported by a meticulous photographic documentation: static and dynamic phases; relation to osteo-muscular structure; eyebrow – hairline distance. 75 cases are herein presented: 40 patients were addressed to the direct brow lift; 8 to midforehead brow lift and 12 to pretrichial hairline lift.

Results: Results: All the patients showed final pleasant results. Scars, inevitable outcome of any surgical procedures, result pathological in 2 cases, necessitating a “touch-up” to ameliorate the aesthetic appearance.

Conclusion: Conclusion: Effective correction of brow ptosis passes through a correct clinical evaluation. Among surgical solutions , open approaches, preferable in selected cases, are still to be considered effective, safe and easily repeatable ..

利益冲突声明

您有否接受任何资金来支持研究这个主题？
否

您是否接受过关于这项研究的任何酬金或其他报酬？
否

你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
否

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。