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J Craniomaxillofac Surg. 2018 Apr;46(4):697-704. doi: 10.1016/j.jcms.2018.01.013. Epub 2018 Feb 2.

Facelifts: Improving the long-term outcomes of lower face and neck rejuvenation surgery: The lower face and neck rejuvenation combined method.

Author information

1
Department of Plastic, Reconstructive and Maxillofacial Surgery, Henri Mondor Hospital, UPEC, University Paris Est Creteil, Val de Marne, 51 Avenue du Marechal de Lattre de Tassigny, 94000, Creteil, France.
2
Department of Plastic, Reconstructive and Maxillofacial Surgery, Henri Mondor Hospital, UPEC, University Paris Est Creteil, Val de Marne, 51 Avenue du Marechal de Lattre de Tassigny, 94000, Creteil, France. Electronic address: drsimonelapadula@gmail.com.

Abstract

Determining which facelift procedures yield the most long-term rejuvenating effects and stability over time is an important question in cosmetic surgery: does radical and invasive surgery produce the most long-lasting results? The experience of our team suggests that using a combination of various techniques (liposuction, lipectomy, myotomies, suspensions, tissular induction techniques) appears to be essential to achieve satisfactory, lasting results. In this paper, we describe the lower facelift and neck rejuvenation combined method. To assess the outcomes of this technique, we conducted a prospective study of 44 patients treated at our hospital by the same surgeon between 2012 and 2015. For assessment purposes, we used the FACE-Objective Assessment Scale developed by our team. The scores obtained by three blinded graders before surgery and 12 months after surgery were compared using a paired t-test. A p value < 0.05 was considered significant. The results were satisfactory, with improvement in the appearance of treated areas. A significant difference between the pre- and postoperative scores was observed (p < 0.00001). The lower face and neck rejuvenation combined method addresses the factors that contribute to the appearance of ageing in the lower third of the face and neck. In our study, this method resulted in positive, lasting outcomes, with few complications.

KEYWORDS:

Ageing; Cervicoplasty; Facelift; Platysma-myotomy; Rejuvenation; Scales

PMID:
29545030
DOI:
10.1016/j.jcms.2018.01.013
[Indexed for MEDLINE]

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