Skip to main content
Top
Published in: Aesthetic Plastic Surgery 3/2022

07-01-2022 | Incision | Original Article

The MICRO-Lift: A Ligaments-Based Anatomic Technique for Lower Face and Neck Rejuvenation Using Bipolar Radiofrequency.

Author: Jesus Olivas-Menayo

Published in: Aesthetic Plastic Surgery | Issue 3/2022

Login to get access

Abstract

Background

The aim of this paper is to present the results of a new technique for lower face and neck rejuvenation named the MICRO-lift (Minimally Invasive, Combined Radiofrequency, Outpatient lift). This technique is based on a bipolar radiofrequency treatment applied to specific ligamentous areas.

Methods

Inclusion criteria were patients with skin laxity of the neck and jowls, with or without fat accumulation. Patients who presented platysma sag and alteration of subplatysmal structures were excluded from the study. The distribution of the energy was adapted to the ligament anatomy, differentiating three areas based on the energy concentration.
In all patients, sex, age at surgery, type of anesthesia, radiofrequency parameters and complications were registered. In all cases, standard photographs and satisfaction interviews were conducted preoperatively and postoperatively. Satisfaction evaluation was also assessed.

Results

Sixty-five patients underwent MICRO-lift technique for the lower face and neck. All patients in our series were female. There were no major complications. Minor complications included transient paralysis of the marginal mandibular (4,6%), infection of the submental incision that required incisional drainage (3,1%), and deep skin burn in the neck (1,5%). Fifty-nine patients were satisfied a year after the treatment (90,8%).

Conclusions

The MICRO-lift can produce outstanding and satisfying improvements in cervicofacial appearance. This new approach offers a predictable strategy to achieve the desired aesthetic results, making this procedure more reliable and reproducible for both novel and experienced surgeons with bipolar radiofrequency.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literature
1.
go back to reference Devgan L, Singh P, Durairaj K (2019) Minimally invasive facial cosmetic procedures. Otolaryngol Clin North Am 52(3):443–459CrossRef Devgan L, Singh P, Durairaj K (2019) Minimally invasive facial cosmetic procedures. Otolaryngol Clin North Am 52(3):443–459CrossRef
2.
go back to reference Cotofana S, Fratila AA, Schenck TL, Redka-Swoboda W, Zilinsky I, Pavicic T (2016) The anatomy of the aging face: a review. Facial Plast Surg 32(3):253–60CrossRef Cotofana S, Fratila AA, Schenck TL, Redka-Swoboda W, Zilinsky I, Pavicic T (2016) The anatomy of the aging face: a review. Facial Plast Surg 32(3):253–60CrossRef
3.
go back to reference Barros EMKP, Rodrigues CJ, Rodrigues NR, Oliveira RP, Barros TEP, Rodrigues AJ Jr (2002) Aging of the elastic and collagen fibers in the human cervical interspinous ligaments. The Spine Journal 2:57–62CrossRef Barros EMKP, Rodrigues CJ, Rodrigues NR, Oliveira RP, Barros TEP, Rodrigues AJ Jr (2002) Aging of the elastic and collagen fibers in the human cervical interspinous ligaments. The Spine Journal 2:57–62CrossRef
4.
go back to reference Kretlow JD, Hollier LH Jr, Hatef DA (2012) The facial aging debate of deflation versus attenuation: attenuation strikes back. Plast Reconstr Surg 130(1):180e–181eCrossRef Kretlow JD, Hollier LH Jr, Hatef DA (2012) The facial aging debate of deflation versus attenuation: attenuation strikes back. Plast Reconstr Surg 130(1):180e–181eCrossRef
5.
go back to reference Mulholland RS (2014) Nonexcisional, minimally invasive rejuvenation of the neck. Clin Plast Surg 41:1131CrossRef Mulholland RS (2014) Nonexcisional, minimally invasive rejuvenation of the neck. Clin Plast Surg 41:1131CrossRef
6.
go back to reference Duncan DI (2014) Nonexcisional tissue tightening: creating skin surface area reduction during abdominal liposuction by adding radiofrequency heating. Aesth Surg J 33:11541166 Duncan DI (2014) Nonexcisional tissue tightening: creating skin surface area reduction during abdominal liposuction by adding radiofrequency heating. Aesth Surg J 33:11541166
7.
go back to reference Hurwitz D, Smith D (2012) Treatment of overweight patients by RFAL for aesthetic reshaping and skin tightening. Aesth Plast Surg 36:6271CrossRef Hurwitz D, Smith D (2012) Treatment of overweight patients by RFAL for aesthetic reshaping and skin tightening. Aesth Plast Surg 36:6271CrossRef
9.
go back to reference Dayan E, Rovatti P, Aston S, Chia CT, Rohrich R, Theodorou S (2020) Multimodal radiofrequency application for lower face and neck laxity. Plast Reconstr Surg Glob Open 8(8):e2862PubMedPubMedCentral Dayan E, Rovatti P, Aston S, Chia CT, Rohrich R, Theodorou S (2020) Multimodal radiofrequency application for lower face and neck laxity. Plast Reconstr Surg Glob Open 8(8):e2862PubMedPubMedCentral
10.
go back to reference Han X, Yang M, Yin B, Cai L, Jin S, Zhang X, Li F (2020) The efficacy and safety of subcutaneous radiofrequency after liposuction: a new application for face and neck skin tightening. Aesthet Surg J 41(3):NP94–NP100CrossRef Han X, Yang M, Yin B, Cai L, Jin S, Zhang X, Li F (2020) The efficacy and safety of subcutaneous radiofrequency after liposuction: a new application for face and neck skin tightening. Aesthet Surg J 41(3):NP94–NP100CrossRef
11.
go back to reference Labbé D, Rocha CSM, de Rocha FS (2017) Cervicomental angle suspensory ligament: the keystone to understand the cervicomental angle and the ageing process of the neck. Aesthet Plast Surg 41:832–836CrossRef Labbé D, Rocha CSM, de Rocha FS (2017) Cervicomental angle suspensory ligament: the keystone to understand the cervicomental angle and the ageing process of the neck. Aesthet Plast Surg 41:832–836CrossRef
12.
go back to reference Ruiz-Esparza J (2006) Painless, nonablative, immediate skin contraction induced by low-fluence irradiation with new infrared device: a report of 25 patients. Dermatol Surg 32:601–610PubMed Ruiz-Esparza J (2006) Painless, nonablative, immediate skin contraction induced by low-fluence irradiation with new infrared device: a report of 25 patients. Dermatol Surg 32:601–610PubMed
13.
go back to reference Zelickson BD, Kist D, Bernstein E, Brown DB, Ksenzenko S, Burns J, Kilmer S, Mehregan D, Pope K (2004) Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device. Arch Dermatol 140:204–209CrossRef Zelickson BD, Kist D, Bernstein E, Brown DB, Ksenzenko S, Burns J, Kilmer S, Mehregan D, Pope K (2004) Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device. Arch Dermatol 140:204–209CrossRef
14.
go back to reference Drew PJ, Watkins A, McGregor AD, Kiernan MN, Clement M (2001) The effects of temperature and time on thermal bond strength in tendons. Lasers Med Sci 16:291–298CrossRef Drew PJ, Watkins A, McGregor AD, Kiernan MN, Clement M (2001) The effects of temperature and time on thermal bond strength in tendons. Lasers Med Sci 16:291–298CrossRef
15.
go back to reference Ruiz-Esparza J, Gomez JB (2003) The medical face-lift: a noninvasive, nonsurgical approach to tissue tightening in facial skin using nonablative radiofrequency. Dermatol Surg 29:325–332PubMed Ruiz-Esparza J, Gomez JB (2003) The medical face-lift: a noninvasive, nonsurgical approach to tissue tightening in facial skin using nonablative radiofrequency. Dermatol Surg 29:325–332PubMed
16.
go back to reference Atiyeh BS, Dibo SA (2009) Nonsurgical nonablative treatment of aging skin: radiofrequency technologies between aggressive marketing and evidence-based efficacy. Aesthetic Plast Surg 33:283–294CrossRef Atiyeh BS, Dibo SA (2009) Nonsurgical nonablative treatment of aging skin: radiofrequency technologies between aggressive marketing and evidence-based efficacy. Aesthetic Plast Surg 33:283–294CrossRef
17.
go back to reference Alster TS, Lupton JR (2007) Nonablative cutaneous remodeling using radiofrequency devices. Clin Dermatol 25:487–491CrossRef Alster TS, Lupton JR (2007) Nonablative cutaneous remodeling using radiofrequency devices. Clin Dermatol 25:487–491CrossRef
18.
go back to reference Greene RM, Green JB (2014) Skin tightening technologies. Facial Plast Surg 30:62–67CrossRef Greene RM, Green JB (2014) Skin tightening technologies. Facial Plast Surg 30:62–67CrossRef
19.
20.
go back to reference Miniaci A, Codsi MJ (2006) Thermal capsulorrhaphy for the treatment of shoulder instability. Am J Sports Med 34:1356–1363CrossRef Miniaci A, Codsi MJ (2006) Thermal capsulorrhaphy for the treatment of shoulder instability. Am J Sports Med 34:1356–1363CrossRef
21.
go back to reference Miniaci A, McBirnie J (2003) Thermal capsular shrinkage for treatment of multidirectional instability of the shoulder. J Bone Joint Surg Am 85:2283–2287CrossRef Miniaci A, McBirnie J (2003) Thermal capsular shrinkage for treatment of multidirectional instability of the shoulder. J Bone Joint Surg Am 85:2283–2287CrossRef
22.
go back to reference Thabit G III (1998) The arthroscopic monopolar radiofrequency treatment of chronic anterior cruciate ligament instability. Oper Tech Sports Med 6:157–160CrossRef Thabit G III (1998) The arthroscopic monopolar radiofrequency treatment of chronic anterior cruciate ligament instability. Oper Tech Sports Med 6:157–160CrossRef
23.
go back to reference Carter TR, Bailie DS, Edinger S (2002) Radiofrequency electrothermal shrinkage of the anterior cruciate ligament. Am J Sports Med 30(2):221–226CrossRef Carter TR, Bailie DS, Edinger S (2002) Radiofrequency electrothermal shrinkage of the anterior cruciate ligament. Am J Sports Med 30(2):221–226CrossRef
24.
go back to reference Alexiades-Armenakas M, Dover JS, Arndt KA (2008) Unipolar versus bipolar radiofrequency treatment of rhytides and laxity using a mobile painless delivery method. Lasers Surg Med 40:446–453CrossRef Alexiades-Armenakas M, Dover JS, Arndt KA (2008) Unipolar versus bipolar radiofrequency treatment of rhytides and laxity using a mobile painless delivery method. Lasers Surg Med 40:446–453CrossRef
25.
go back to reference Morrison W, Salisbury M, Beckham P, Schaeferle M 3rd, Mladick R, Ersek RA (2001) The minimal facelift: liposuction of the neck and jowls. Aesthetic Plast Surg 25:94–99CrossRef Morrison W, Salisbury M, Beckham P, Schaeferle M 3rd, Mladick R, Ersek RA (2001) The minimal facelift: liposuction of the neck and jowls. Aesthetic Plast Surg 25:94–99CrossRef
Metadata
Title
The MICRO-Lift: A Ligaments-Based Anatomic Technique for Lower Face and Neck Rejuvenation Using Bipolar Radiofrequency.
Author
Jesus Olivas-Menayo
Publication date
07-01-2022
Publisher
Springer US
Keyword
Incision
Published in
Aesthetic Plastic Surgery / Issue 3/2022
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-021-02719-0

Other articles of this Issue 3/2022

Aesthetic Plastic Surgery 3/2022 Go to the issue