Elastic Plastic Surgery

English

19. Elastic Neck lifting through a 1 cm incision behind the earlobe

Elastic neck lifting can be carried out even through a small 1 cm incision behind the lobe of one ear.
This ambulatory procedure restores the cervicomandibular angle, raises the skin and prevents drooping of the neck. Elastic neck lifting can be performed either on its own or to complete MACS lifting. The cervicomandibular angle is marked out while the skin of both corners of the jaw is drawn upwards. A second line is drawn parallel to the first and about 1 cm from it. If the second line is below the first, as in this case, the anterior skin of the neck will be lifted. The procedure is performed under local anesthesia.

English

18. Elastic MACS and Neck lift in a patient with facial asymmetry

Elastic MACS and neck lifting is an extremely efficacious mini-invasive ambulatory procedure that can replace traditional lifting of the face and neck.
Before the procedure is started, a few millimetres of the sideburns are shaved off. The skin incision, which will loop around the sideburn and stop at the tragus, is marked out in this shaved area. Elastic neck lifting is also carried out through this small incision. Now, a line is drawn from the lower part of the wing of the nose to the point where the earlobe terminates. Next, the vertical suspension lines are drawn out. There are normally three of these; in this case, however, a fourth line has been drawn in order to correct the asymmetry of the mouth. Before drawing these lines, the operator lifts the facial volumes with the fingers until a pleasing effect is obtained. The excess skin that results from the raising of the facial volumes will be removed once the elastic threads have been implanted.