Comprehensive Lower Facelift and Platysmaplasty

Patient's Request

The patient wanted to get rid of age-related changes that made her look tired. Her main concerns were a loss of definition along the jawline, visible “jowls” and pronounced sagging under the chin and on the neck. The main goal was to restore a youthful look and a well-defined neck-to-chin angle while avoiding an “overpulled” face and keeping her natural facial expressions.

Diagnosis and Surgical Plan

During the consultation, the surgeon carefully assessed the degree of ptosis (sagging) of the soft tissues of the lower face, the skin condition and the tone of the superficial neck muscle (platysma). Taking into account her anatomy and wishes, a personal surgical rejuvenation program was developed:

• Comprehensive pre-operative assessment and detailed photo documentation to record the result;
• Lower SMAS lift: lifting and fixing the deep musculo-aponeurotic layer for a long-lasting effect;
• Corset platysmaplasty — suturing the separated edges of the neck muscle at the midline to create a firm framework;
• Micro-liposuction of the chin to remove localized fat deposits and improve contouring;
• Redraping and careful removal of excess skin without tension;
• Inconspicuous cosmetic sutures in natural folds (in the hairline and around the ear);
• Support throughout recovery and follow-up visits.

Result

Thanks to deep work with the muscles and tissues, an impressive yet natural rejuvenation of the lower face was achieved. After recovery, the patient got the result she wanted with no visible signs of surgery.

• A crisp, ideal neck-to-chin angle;
• The “double chin” and loose neck skin completely eliminated;
• Jowls and sagging along the jawline are gone, restoring a harmonious facial contour;
• The skin looks lifted, and the profile light and youthful;
• The scars are securely hidden and will become completely invisible over time;
• A lasting rejuvenating effect thanks to the fixation of the muscle framework.