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In-Office Surgical Procedures for Prejuvenation

This review describes in-office procedures under local anesthesia, including submentoplasty, mini-facelift and preservation-focused blepharoplasty, for younger patients with good skin elasticity and mild structural changes, aimed at delaying traditional facial surgery.

Morrissette M, Stein E, Tai K, et al.. Facial plastic surgery : FPS, 2026.

What it means for a patient

  • Younger patients with early neck fullness, early jowls or excess eyelid skin may be offered smaller procedures in the office, under local anesthesia.
  • The aim is to treat early structural change and delay a larger facelift or neck lift.
  • Good skin elasticity and mild changes are key selection criteria.
  • Limits: a descriptive review with no data in the abstract. The claim of durable results is not supported by numbers here.

Why this paper matters

It frames "prejuvenation" as early structural surgery done in the office, rather than surface treatments alone, for selected younger patients. It lists the procedures and aftercare the authors use.

Overview

Submentoplasty and rhytidectomy have traditionally been used for patients with advanced aging. The authors describe a shift, for suitable younger patients, from surface skin treatments to procedures that correct early structural changes from aging, trauma or genetics. The goal is to delay traditional rejuvenating surgery in an operating room. The abstract reports no patient data.

Findings

  • Target problems: submental fat, platysmal diastasis, jowling and periorbital dermatochalasis.
  • Candidates: younger patients with high skin elasticity and mild structural changes.
  • Procedures: submentoplasty, mini-facelift, and preservation-focused upper and lower blepharoplasty.
  • All are performed in the office under local anesthesia.
  • Aftercare emphasizes compression, cold therapy and supplements to reduce downtime and swelling.
  • The authors state these procedures give a proactive, durable result in appropriate patients.
  • The abstract gives no patient numbers, outcome measures or complication rates.

Terms

  • Prejuvenation: treatment in younger people aimed at delaying visible aging.
  • Submentoplasty: surgery under the chin to remove fat and tighten the neck.
  • Mini-facelift: a facelift with shorter incisions and less dissection.
  • Platysmal diastasis: separation of the two edges of the platysma muscle in the front of the neck.
  • Dermatochalasis: excess, loose eyelid skin.
  • Jowling: sagging tissue along the jawline beside the chin.
  • Blepharoplasty: eyelid surgery.
  • Local anesthesia: numbing medicine injected into one area while the patient stays awake.

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2026
Discussion: Management of Platysmal Banding in Face and Neck Lift Surgery
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Platysma Easy Clip: a less invasive technique for cervical rejuvenation with 100 clinical cases
Collini GC, Alves V, Mileu T, Cavalieri-Pereira L · J Craniomaxillofac Surg · PMID 42209361
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Management of Platysmal Banding in Face and Neck Lift Surgery
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