Advanced J-lift (face lift) with IFL (internal face lift) – a minimal access concept

This presentation focuses on a study of 600 plus cases of minimal invasive concepts of facial rejuvenation(J-lift/IFL) that is adapted to the 21^st century desire, particularly of American patients, to have a „magical changes“ in facial rejuvenation with minimal „side effects“. It is not possible to provide that „magic“ but the concept of facial restoration from „inside and out“ will be discussed in its anatomical, esthetic, and physiologic parameters. The concepts of lesser invasive procedures are derived from the presentors experience in 25 years of cosmetic and facial plastic surgery practice utilizing various technologies of rejuvenation in over 2000 cases. The focus on minimal access and minimal invasion to the facial infrastructure and skeleton with permanent implants that restores the youthful facial „triangle“ with or without endoscopic aid provides the platform for a less invasive (i.e. deep plane lift) cervicofacial rhytidectomy (Advanced J-lift with neck lift). Additional demonstration of „completing the picture“ with the use of permanent periorofacial fillers with an advanced new ePTFE filler (Advanta) will be integrated into the presentation. The combination of these concepts allows for rapid surgery under MAC (intravenous anesthesia) and rapid recovery. The predominant benefits revealed are: 1. natural and esthetic outcomes, 2. more permanent restoration of natural appearance. 3. minimal morbidity. The summary of cases study over a four year period (600 plus). Redo cases <2% (neck most often, patients with heavy necks should know that a redo J-lift and neck may be necessary in 1–3 years post surgery). The rationale for IFL – with malar and jowl implants – lessens the need for ever needing an aggressive deep plane face lift; > patient happiness (relevant surveys at three months) → 85% patient satisfaction.

Complications:
a.	5/7th nerve injures	0.0%
b.	Scarring	<0.25%
c.	Hematoma	<0.25%
d.	Implant infection	<0.25%
e.	Implant asymmetry	<0.50%
f.	Implant-explantation	<0.25%
g.	Infection	<0.25%

The attendees will readily gain knowledge to adapt these concepts in their practice as they educate themselves in the anatomic/surgical concepts.