Table 3.

Procedural Steps

Steps
1. Skin-only lower blepharoplasty
2. Limited incision of lower face and neck lift
3. Contouring of deep neck structures (subplatysmal fat, anterior belly of the digastric, +/− submandibular glands) and anterior plication of the platysmal bands (anterior corset)
4. Endoscopic forehead lift, brow rotation, deep plane cheek lift
5. Lateral tightening of the SMAS and platysma (posterior corset)
6. Redraping of excess neck skin, excision and tailoring of the post auricular incision or pretragal incision (if needed), and meticulous closure
7. Microfat grafting for volume and shape, SNIF technique with micronized fat for deep wrinkles and retexturization
8. Skin resurfacing with TCA peel or fractionated CO2 laser

SMAS, superficial musculoaponeurotic system; SNIF, sharp-needle intradermal fat grafting; TCA, trichloroacetic acid.