Plastic and Reconstructive Surgery, Global Open (Jun 2024)

Isolated Medial Platysmaplasty and Harmonization of the Lower Third of Face with Local Fat Autograft: A Case Report

  • Anastasiya S. Borisenko, MD, PhD,
  • Valentin I. Sharobaro, MD, PhD,
  • Nigora S. Burkhonova, MD,
  • Alexey E. Avdeev, MD, PhD,
  • Alexander A. Ermolaev, MD,
  • Yousif M. Ahmed Alsheikh, MD

DOI
https://doi.org/10.1097/GOX.0000000000005897
Journal volume & issue
Vol. 12, no. 6
p. e5897

Abstract

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Summary:. One of the most common complaints of patients seeking plastic surgery is the presence of age-related changes in the lower third of the face. These often include vertical platysmal bands, a double chin, Venus rings, the absence of the cervico-mental angle, hypertonicity of the muscles in the mental area, and insufficient projection of the chin. The development and implementation of less-traumatic methods of correction of the lower third of the face and harmonization of the projection of the cervico-mental region remain relevant. This article discusses a comprehensive and individualized approach with minimally invasive techniques for correcting age-related changes in the lower third of the face and harmonizing the definition of the jawline. Isolated platysmaplasty with autologous local fat grafting to the chin is effective, safe, minimally invasive, and has a short rehabilitation period, with stable long-term aesthetic outcomes.