The J-Lift/Internal Face-Lift for Facial Rejuvenation

Abstract

Objective:

To evaluate our experience with the J-lift/internal facelift, which includes lipoaspiration of the lateral cheek and neck, limited subcutaneous dissection with multivector superficial musculoaponeurotic system plication, and subperiosteal dissection in the jowl and malar areas with implant placement.

Methods or Design:

A retrospective chart review of 139 patients who underwent J-lift and internal face-lift between 2001 and 2004. The number of complications was addressed and results analyzed photographically using a 3 point scale.

Results:

137 patients expressed satisfaction with the technique. The two that did not suffered from extensive adiposity in the neck tissues. There were three complications, which consisted of a small eschar over the tragus, a widened preauricular scar and some asymmetry of one prejowl implant which were successfully addressed with minor revision surgery. There were no cases of expanding hematoma, postoperative auricular displacement, injury to cranial nerves V or VII, or loss of hair in the temporal area. Photographic assessment of the results indicated fair to moderate improvement in the midface and good to excellent improvement in the jowl and cervicomental angle.

Conclusions:

The J-lift is an effective and safe technique for patients with jowl and cervicomental angle rhytids.