Sozer Ozan, Ersan Mert, Sibar Serhat, Kachare Milind D, Cakmakoglu Cagri
El Paso Cosmetic Surgery Center, 651 South Mesa Hills Drive, El Paso, TX, 79912, USA.
Department of Plastic Surgery, Yeditepe University, Istanbul, Turkey.
Aesthetic Plast Surg. 2025 Mar 10. doi: 10.1007/s00266-025-04784-1.
Chin ptosis, characterized by the descent of soft tissues below the inferior mandibular border, significantly impacts lower facial aesthetics. Traditional facial rejuvenation procedures often fail to comprehensively address this condition. The surgical net technique offers a novel approach for precise repositioning and stabilization of the chin. This study evaluates the clinical outcomes of this technique in correcting chin ptosis within comprehensive facial rejuvenation procedures.
A retrospective review was conducted on 20 patients who underwent correction of chin ptosis using the surgical net technique from November 2022 to November 2023. Incision placement varied based on anatomy, surgical plan, and neck lift approach. Subcutaneous dissection extended to the inferior mentum border, with subperiosteal dissection beneath the mentalis muscle akin to alloplastic chin augmentation. The chin was repositioned and secured using 5/0 polypropylene surgical net sutures. Outcomes were assessed using patient-reported "Satisfaction with Chin" FACE-Q scores.
The cohort included 20 female patients with an average age of 54.3 years (range: 40-64) and a mean BMI of 28.1 (range: 20.0-34.2). The procedure duration averaged 13.3 min (SD ± 2.1). The average follow-up period was 12.53 months (range: 12-14). No major complications were reported. Satisfaction scores increased from a mean preoperative score of 34 ± 8.5 to 86 ± 10.2 at 1-year follow-up (p < 0.001).
The surgical net technique is a simple, reproducible, and effective method that offers an innovative solution for addressing chin ptosis, combining precision, stability, and adaptability to achieve optimal outcomes. The operating time is minimal, and complications are virtually nonexistent.
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颏部下垂表现为下颌下缘以下软组织的下移，对下面部美学有显著影响。传统的面部年轻化手术往往无法全面解决这一问题。手术网片技术为颏部的精确重新定位和稳定提供了一种新方法。本研究评估了该技术在全面面部年轻化手术中矫正颏部下垂的临床效果。
对2022年11月至2023年11月期间采用手术网片技术矫正颏部下垂的20例患者进行回顾性研究。切口位置根据解剖结构、手术方案和颈部提升方法而有所不同。皮下剥离延伸至颏部下缘，在颏肌下方进行骨膜下剥离，类似于异体材料隆颏术。使用5/0聚丙烯手术网片缝线对颏部进行重新定位和固定。使用患者报告的“对颏部的满意度”FACE-Q评分评估结果。
该队列包括20名女性患者，平均年龄54.3岁（范围：40 - 64岁），平均BMI为28.1（范围：20.0 - 34.2）。手术时间平均为13.3分钟（标准差±2.1）。平均随访期为12.53个月（范围：12 - 14个月）。未报告重大并发症。满意度评分从术前平均34 ± 8.5分提高到1年随访时的86 ± 10.2分（p < 0.001）。
手术网片技术是一种简单、可重复且有效的方法，为解决颏部下垂提供了创新解决方案，兼具精确性、稳定性和适应性，以实现最佳效果。手术时间最短，几乎不存在并发症。
证据等级IV：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
