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Background <p>A novel minimally invasive surgical technique is proposed to treat the contour of the lower face, jowls and upper neck. The procedure is mainly used in patients who wish to undergo less extended surgery, with minimal scarring and less downtime.</p> Methods <p>In the described technique, a V-shaped incision is made between the middle of the tragus and the insertion point of the posterior auricular muscle at the back of the auricle. The incision goes around the earlobe. The skin in a radius of 4&#xa0;cm around the earlobe is undermined with Metzenbaum or Solz scissors. The platysma below the mandibular angle is also undermined 3-4&#xa0;cm. Then, we plicate the superficial musculoaponeurotic system (SMAS) with permanent sutures. The excess skin is excised, and the final skin sutures are made. No drains are placed.</p> Results <p>The technique was successfully applied to 132 consecutive patients over a period of 2.5&#xa0;years. There was no downtime, no pain and no facial edema after the operation in the majority of the patients. No major complications occurred during the follow-up period. The satisfaction of most patients was extremely high. A follow-up of at least 2&#xa0;years after the operation indicates the long-lasting results of the operation.</p> Conclusion <p>The authors present a simple, effective and safe approach to correct soft tissue ptosis and skin laxity in the lower third of the face and upper neck. General anesthesia is not required, there is no downtime, patient discomfort is minimal, there are very few complications and the results are satisfactory.</p> Level of Evidence IV <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>

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V-Scar Lift: An Innovative Technique for Treating the Lower Third of the Face and the Upper Neck

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月21日

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  • Giorgos Andreanidis,
  • Ioanna Andreanidi,
  • Giorgos Eustathiou,
  • Pantelis Diamantopoulos

摘要

Background

A novel minimally invasive surgical technique is proposed to treat the contour of the lower face, jowls and upper neck. The procedure is mainly used in patients who wish to undergo less extended surgery, with minimal scarring and less downtime.

Methods

In the described technique, a V-shaped incision is made between the middle of the tragus and the insertion point of the posterior auricular muscle at the back of the auricle. The incision goes around the earlobe. The skin in a radius of 4 cm around the earlobe is undermined with Metzenbaum or Solz scissors. The platysma below the mandibular angle is also undermined 3-4 cm. Then, we plicate the superficial musculoaponeurotic system (SMAS) with permanent sutures. The excess skin is excised, and the final skin sutures are made. No drains are placed.

Results

The technique was successfully applied to 132 consecutive patients over a period of 2.5 years. There was no downtime, no pain and no facial edema after the operation in the majority of the patients. No major complications occurred during the follow-up period. The satisfaction of most patients was extremely high. A follow-up of at least 2 years after the operation indicates the long-lasting results of the operation.

Conclusion

The authors present a simple, effective and safe approach to correct soft tissue ptosis and skin laxity in the lower third of the face and upper neck. General anesthesia is not required, there is no downtime, patient discomfort is minimal, there are very few complications and the results are satisfactory.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.