The QuickLift: Featuring an Encircling Double Purse-String Plication Technique with Blunt Neck/Jowl Undermining and Small Submental Tuck for Tightening the Sagging Superficial Musculoaponeurotic System,Platysma,and Skin

Abstract

Introduction:

The QuickLift is a modification of the S-lift that varies from the S-lift primarily in the shape of the incision, the areas of undermining, the method of plication, and the vector of advancement. Two negative aspects of the purse-string plication technique used with the original QuickLift were an intraoperative bulging centrally that required trimming and minimal midface improvement. In 1 of the 85 patients reported in the original article, the aforementioned complication became noticeable as a slight bulge once swelling subsided.

Materials and Methods:

Instead of using 1 large oval-shaped purse string for plication, a firmly anchored small oval-shaped purse-string is encircled by a larger purse-string, with the latter purse-string modified to provide improved advancement of the midface.

Results:

The encircling double purse-string plication technique not only reduces the bulging effect of the deep tissues, but also provides stronger soft tissue support because of increased suture placement and anchoring sites. The cosmesis in the midface is improved over the former technique.

Conclusions:

A new variation of the originally described QuickLift plication technique reduces bulging of the deep tissues while simultaneously providing stronger superficial musculoaponeurotic system support to the neck, jowls, and midface. Blunt undermining or liposuction of the neck and/or jowl with a small submental tuck further enhances the result.