Multiplane Facelift Following Facial Bone Contouring for Enhanced Mobilization and Rejuvenation

Introduction: The aging process is inevitable in life, and the social demand for rejuvenation increases by year. The face acquires both soft tissue and skeletal changes through aging, and correcting only one side has limits in natural rejuvenation. Thus, the authors combined multiplane facelift with whole-facial bone contouring for maximal results. Methods: From March 2017 to February 2019, a total of 22 patients received multiplane facelift following facial bone contouring in our institute. The authors retrospectively reviewed information on demographics, surgical procedure, complications, and satisfaction. Under general anesthesia, the patient received reduction malarplasty, genioplasty, and mandible anglectomy via intraoral incisions, and multiplane facelift through retrotragal and postauricular incisions. Results: All patients were females with the mean age of 42.86 +/- 9.55. The mean operation time was 296.39 +/- 31.87 minutes and the mean follow-up period was 12.59 +/- 6.77 months. Few complications included hematoma and unfavorable scars. More than 95% of the patients were very satisfactory with the result. Conclusion: In this study, the authors present our novel procedure of combining whole-facial bone contouring and multiplane facelift. This technique can reestablish the facial skeletal foundation and effectively lift soft tissues in various vectors with longevity and safety.