Boyd Carter J, Ceradini Daniel J
Hansjörg Wyss Department of Plastic Surgery, NYU Langone, New York, NY 10016, USA.
J Clin Med. 2025 Jun 16;14(12):4273. doi: 10.3390/jcm14124273.
Many surgical and nonsurgical options are available to patients seeking facial rejuvenation. In this review, we aim to provide an overview of the current trends in facelift and necklift procedures while simultaneously highlighting the utility of nonsurgical treatments. A comprehensive literature review was performed using the PubMed, Google Scholar, and Cochrane Library databases, with the objective of including recent literature published on facelift and necklift procedures from 2015 to 2025. Articles were selected based on relevance, with a specific focus on including a wide breadth of techniques. A considerable body of literature has been published to further classify the soft-tissue anatomy of the face and neck. In particular, these studies focus on the characterization of the three-dimensional anatomy of the facial nerve with emphasis on safe planes of dissection to avoid inadvertent facial nerve injury. The current literature continues to debate both the theoretical and practical advantages and disadvantages of various facelift techniques. Broadly speaking, facelift techniques can be divided into those that manipulate the superficial musculoaponeurotic system (SMAS) layer on its superficial surface and those that undermine the SMAS to varying extents. Numerous approaches are available to improve the contour of the neck and jawline, including manipulation of the platysma muscle and subplatysmal volume reduction. Other surgical procedures and nonsurgical treatments should be considered to optimize and enhance facelift and necklift results. Advancements in patient safety include a focus on minimizing complications while reducing the length of recovery. Facelift and necklift procedures remain the foundational pillars for facial rejuvenation. With attention to patient-specific anatomy, surgeons can work collaboratively with patients to provide global facial optimization by choosing appropriate facelift and necklift techniques in combination with other ancillary procedures. Doing so will deliver enduring, elegant results.
对于寻求面部年轻化的患者来说，有许多手术和非手术选择。在本综述中，我们旨在概述面部提升和颈部提升手术的当前趋势，同时强调非手术治疗的效用。使用PubMed、谷歌学术和Cochrane图书馆数据库进行了全面的文献综述，目的是纳入2015年至2025年发表的关于面部提升和颈部提升手术的最新文献。根据相关性选择文章，特别注重纳入广泛的技术。已经发表了大量文献来进一步对面部和颈部的软组织解剖进行分类。特别是，这些研究专注于面神经三维解剖结构的特征，重点是安全的解剖平面，以避免意外的面神经损伤。当前的文献继续就各种面部提升技术的理论和实际优缺点进行辩论。广义地说，面部提升技术可分为在其浅表面操作浅表肌肉腱膜系统（SMAS）层的技术和不同程度地掀起SMAS的技术。有多种方法可用于改善颈部和下颌轮廓，包括颈阔肌的操作和颈阔肌下容积减少。应考虑其他外科手术和非手术治疗，以优化和增强面部提升和颈部提升的效果。患者安全方面的进展包括注重将并发症降至最低，同时缩短恢复时间。面部提升和颈部提升手术仍然是面部年轻化的基础支柱。通过关注患者特定的解剖结构，外科医生可以与患者合作，通过选择合适的面部提升和颈部提升技术并结合其他辅助手术，实现全面的面部优化。这样做将带来持久、美观的效果。
