12 Neck Lift and Fat Grafting to the Neck

Aris Sterodimas

Abstract

Facial rejuvenation is becoming increasingly challenging because patients request minimally invasive surgery and rapid surgical course and recovery, along with fast, tangible, and long-term results. Rejuvenation of face, neck, and periorbital areas needs to be addressed at the same surgery. At our institution, a systematic approach comprising all of these procedures has been developed, with consistent results. Our research group has already described the method of stromal enriched lipograft (SEL) in various parts of the body, a procedure combining fat with enzyme-based extraction of the stromal vascular fraction (SVF), with the aim to increase the take and duration of the grafted fat and the related volume, thereby determining a more predictable and stable result in terms of graft survival in the face, and also improving the skin quality. Recently, a helium-based plasma technology has been introduced for the percutaneous delivery of plasma energy for the purpose of soft-tissue coagulation and contraction. A significant skin and soft-tissue contraction in a smooth and even manner is accomplished in the neck area. Facial harmony not only depends on achieving a more natural, tense, and young conformation but also on restoring volumes and improving the quality of the facial and neck skin.

Key words

stromal enriched lipograft - fat grafting - face - neck tightening - facelifting - skin tightening - radiofrequency - minimally invasive - helium plasma

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