Facial Plast Surg 2021; 37(02): 249-258
DOI: 10.1055/s-0041-1725103
Original Article

Minimally Invasive Triple Therapy of the Presurgical Neck

Louis DeJoseph
1   Department of Facial Plastic and Reconstructive Surgery, Premier Image Cosmetic and Laser Surgery, Atlanta, Georgia
,
Houmehr Hojjat
2   Department of Otolaryngology Head and Neck Surgery, Emory University School of Medicine, Atlanta, Georgia
,
Paul Pedram Daraei
3   Department of Facial Plastic Surgery, Premier Image Cosmetic and Laser Surgery, Atlanta, Georgia
› Author Affiliations

Abstract

Minimally invasive in-office procedures are a fast growing field in plastic surgery. Patients often notice and complain about their neck at an earlier age. Modern treatments for the aging neck have continued to evolve over the past decade, with more options continuing to become available. In this article, we describe our noninvasive approach to the aging neck through the combination of submental liposuction, radiofrequency (RF) microneedling, and percutaneous RF as a safe and effective option. Through appropriate patient selection, preoperative counseling, and good surgical technique, appropriate results can be achieved with minimal downtime. Patient selection, counseling, appropriate anesthesia, procedure details, and results are discussed in this article.



Publication History

Article published online:
31 March 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Irvine Duncan D. Nonexcisional tissue tightening: creating skin surface area reduction during abdominal liposuction by adding radiofrequency heating. Aesthet Surg J 2013; 33 (08) 1154-1166
  • 2 Dayan E, Burns AJ, Rohrich RJ, Theodorou S. The use of radiofrequency in aesthetic surgery. Plast Reconstr Surg Glob Open 2020; 8 (08) e2861
  • 3 Theodorou SJ, Paresi RJ, Chia CT. Radiofrequency-assisted liposuction device for body contouring: 97 patients under local anesthesia. Aesthetic Plast Surg 2012; 36 (04) 767-779
  • 4 Cosmetic Surgery National Data Bank Statistics. Cosmetic surgery national data bank statistics. Aesthet Surg J 2018; 38 (03) (Suppl. 03) 1-24
  • 5 Hantash BM, Ubeid AA, Chang H, Kafi R, Renton B. Bipolar fractional radiofrequency treatment induces neoelastogenesis and neocollagenesis. Lasers Surg Med 2009; 41 (01) 1-9
  • 6 Peterson JD, Palm MD, Kiripolsky MG, Guiha IC, Goldman MP. Evaluation of the effect of fractional laser with radiofrequency and fractionated radiofrequency on the improvement of acne scars. Dermatol Surg 2011; 37 (09) 1260-1267
  • 7 Seo KY, Kim DH, Lee SE, Yoon MS, Lee HJ. Skin rejuvenation by microneedle fractional radiofrequency and a human stem cell conditioned medium in Asian skin: a randomized controlled investigator blinded split-face study. J Cosmet Laser Ther 2013; 15 (01) 25-33
  • 8 Alster TS, Lupton JR. Nonablative cutaneous remodeling using radiofrequency devices. Clin Dermatol 2007; 25 (05) 487-491
  • 9 Konicke K, Knabel M, Olasz E. Microneedling in dermatology: a review. Plast Surg Nurs 2017; 37 (03) 112-115
  • 10 Hurwitz D, Smith D. Treatment of overweight patients by radiofrequency-assisted liposuction (RFAL) for aesthetic reshaping and skin tightening. Aesthetic Plast Surg 2012; 36 (01) 62-71
  • 11 Marc Divaris SB, Branchet MC, Paul MD. A clinical and histological study of radiofrequency-assisted liposuction (RFAL) mediated skin tightening and cellulite improvement. J Cosmet Dermatol Sci 2011;1(02)
  • 12 Verlinde M, Hollmann MW, Stevens MF, Hermanns H, Werdehausen R, Lirk P. Local anesthetic-induced neurotoxicity. Int J Mol Sci 2016; 17 (03) 339
  • 13 Sekimoto K, Tobe M, Saito S. Local anesthetic toxicity: acute and chronic management. Acute Med Surg 2017; 4 (02) 152-160
  • 14 Neal JM, Mulroy MF, Weinberg GL. American Society of Regional Anesthesia and Pain Medicine. American Society of Regional Anesthesia and Pain Medicine checklist for managing local anesthetic systemic toxicity: 2012 version. Reg Anesth Pain Med 2012; 37 (01) 16-18
  • 15 Emmanouil DE, Quock RM. Advances in understanding the actions of nitrous oxide. Anesth Prog 2007; 54 (01) 9-18
  • 16 Browne DR, Rochford J, O'Connell U, Jones JG. The incidence of postoperative atelectasis in the dependent lung following thoracotomy: the value of added nitrogen. Br J Anaesth 1970; 42 (04) 340-346