Isolated Medial Platysmaplasty and Harmonization of the Lower Third of Face with Local Fat Autograft: A Case Report

Abstract

One of the most common complaints of patients seeking plastic surgery is the presence of age-related changes in the lower third of the face. These often include vertical platysmal bands, a double chin, Venus rings, the absence of the cervico-mental angle, hypertonicity of the muscles in the mental area, and insufficient projection of the chin. The development and implementation of less-traumatic methods of correction of the lower third of the face and harmonization of the projection of the cervico-mental region remain relevant. This article discusses a comprehensive and individualized approach with minimally invasive techniques for correcting age-related changes in the lower third of the face and harmonizing the definition of the jawline. Isolated platysmaplasty with autologous local fat grafting to the chin is effective, safe, minimally invasive, and has a short rehabilitation period, with stable long-term aesthetic outcomes.

Fig. 1.

Analysis of the cervico-mental angle before the surgery; in this patient, the angle is 155 degrees.

Fig. 2.

Intraoperative picture that shows the position of the transplanted autograft.

Fig. 3.

Intraoperative picture of the final result.

Fig. 4.

Patient 12 months after rejuvenation of the lower third of the face. Note that the cervico-mental angle is now 110 degrees, showing a stable long-term result.