홍진주성형외과

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[ Multiplane Facelift ]
Multiplane Rhytidectomy, Incisional Lifting
A multiplane facelift is an incisional lifting to improve sagging facial soft tissue, reconstructing the main cause of the aging process, by restoring the youthfulness of the skin as well as the underlying soft tissue and the SMAS layer.
This procedure differs significantly from previous simple skin lifting.
It can restore the tissue into its original young conditions through reconstruction of the deep tissues, which enforces dramatic and long-lasting effects.
JJ plastic surgery has decades of experience in this facelift and rejuvenation. This meticulous procedure can be standardized and simplified through advanced technology.
It takes about 3 hours under shallow sedations (not deep general anesthesia) monitored by special anesthesiologist, followed by dressing removal after 4 days, and suture removal at 7 days after the procedure.
Return to normal daily life is possible within 7 days.

"JJ plastic surgery's Multiplane facelift"

  1. JJ Team's Multiplane facelift procedure has already been published in the journal of Plastic and Reconstructive Surgery (USA) in 1999.

  2. Customized procedures using precise measurements and 3 dimensional CT scanning.



  3. Prescreening and a health check-up in our own facilities, such as the blood test lab and chest X-ray equipment for a safe procedure, so you can check your precise health status immediately.
  4. Safe Anesthesia by experienced anesthesiologist specialists.
    All procedures are performed under deep sedation via the venous Precedex administration.

    The whole process of deep sleep anesthesia is carried out by experienced specialist anesthesiologists, so a safe and quick recovery is possible.
  5. Hyperbaric oxygen therapy to facilitate the safe and rapid recovery.
Indications
  1. Bigger face than previous young face
    Tissue, fat, and muscles lose firm attachment to the bone as aging while they are hidden densely under the zygomatic arch when they young. The loosening tissue droops both sides of the face, which becomes rectangular face with losing previous v-shaped jawline. This is not a change of the facial bone but the soft tissue. These serial changes of the facial soft tissue at the lower border of the jaw form the stepping deformity and wider lower facial width. Lower facial widening can be corrected partially by “thread lift”, however, for more effective and secure improvement, a multiplane facelift is the best procedure of choice.
  2. Those who had frequent cosmetic injections such as fat, filler, etc. under cheekbones
    Most of the facial soft tissue is hanging beneath the cheekbones. Usually, the cheek depression is the first sign of aging process which makes soft tissue drooping downward. So, fillers or fat injection is performed to fix the depression. However, as aging progresses, transferred fat or filler itself droops and makes the aging progress worse. The foreign substances or unwanted transplanted fat injected into the cheek should be re-moved by the incisional approach. (Degree of removal depends on the nature and distribution of foreign matter.)
  3. Sagging after facial contouring surgery or Orthognathic surgery
    Multiplane face lifting can reduce unnecessary excess tissue and correct the disproportion of the bone and soft tissue ratio after the facial bone surgery, which reduces the skeleton only, Facelift can be done simultaneously or separately with facial bone contouring surgery to remove or correct the soft tissue over-loading those break the facial V-line along the jawline. Elasticum lifting can also improve that kind of deformity after facial bone surgery. However, tissue reduction cannot be done with Elasticum lifting to improve the ratio of tissue and bone.
  4. Neck, jawline, and chin drooping
    The chin and neck are attached to the mobile mandible. The lower part of the chin has many fat layers, so it could sag earlier than other tissue because there is no part directly fixed to the bone. In addition, when the platysmal fascia connected to the SMAS layer falls down to form thick vertical wrinkles, it can be effectively improved with neck incision lifting. (In the case of horizontal wrinkles, you can expect only about 60~70% of the effect.) Furthermore, simple drooping of the fat layers and soft tissues without sagging platysma fascia can be improved simply by neck liposuction and Elasticum lifting.
  5. Nasolabial fold
    The cheek fat pad over the upper lip is drooping over to deep crease or fold, which makes stepping deformity or furrow like shape. Nasolabial fold. It is the borderline between cheek(mainly soft fat) and upper lip(mainly muscle), so even young people form the fold when she or he makes an expression.
    Therefore, normal folding of young people does not require any correction.Since it is also the matter of dropping of soft tissue, the non-incision thread lifting is effective. However, the duration and the degree of pull are some what short and weak. A multiplane facelift is more effective and lasts longer because it clears the borders and deep soft tissues are rebuilt in the shape of the younger ones. (Non-incisional lifting is enough when wrinkles alone without upper tissue drooping.)
  6. Jowl
    Jowl can be improved to some degree with non-incisional lifting, but the jawline is constantly moving and located below the lower part of the retaining ligament, so the effect does not last long enough. The jowl drooping below the retaining ligament could be corrected enough and long-lasting only when the ligaments are freed with dissection.
Incisional lifting (multiplane facelift) vs thread lifting using Elasticum
Since thread lifting raises soft tissue only by the thread, dimple or irregularity may occur where the force of the thread is concentrated partially. Furthermore, when the tension or rigidity of the thread itself is reduced, the lifting effect disappears easily. The whole reconstruction of the connections of the facial soft tissue and skeletal framework is only possible by the multiplane facelift with the incisional approach.
Incisional lifting (Multiplane facelift) VS Elastic thread lifting (Elasticum)
2 to 3 hours Operation time Within 1 hour
5 to 7 days Recovery period 2 days
In the hair, around the ears scar none
5-7 years Duration Melting thread lifting: Within 1 year
Elasticum: 2-3 years
Including neck, jaw line,
wrinkles Omnidirectional effect
However, in the case of the horizontal wrinkles of the neck and the fine wrinkles of the mouth Limited effect
effect Upper part, jaw line, neck sagging improvement
Partial effect rather than omnidirectional effect
Non-incisional thread lifting
Non-incisional thread lifting is a relatively simple procedure using either absorbable or non-absorbable thread, as well as a self-dissolving plate (Endotine, etc.). Due to minimal dissection or incision, early recovery is possible with 2 or 3 days.
For thread lifting, the thread has spur which distributes the loading evenly to prevent tissue distortion during lifting. However, the protuberances of the thread are hard and sharp, which makes patients feel foreign body sensations and sometimes evokes protrusions. The tissue close to the thread is pulled much, on the other hands, the part far from the thread is pulled less, so it forms dimple deformity or irregularity. Furthermore, since it does not make a reliable adhesion, the tissue holding force easily weakens through massages and daily life.

Pulling a soft tissue by a thread is like pulling something that is not solid like soft cheese or tofu by a thread, and the thread easily loses its holding. Furthermore, the tissues around the mouth and cheeks constantly move, so the tissue cannot be held by a thread for a long time. These days, a thread with elasticity like Elasticum, its effect can last longer up to 3 years.
The effect of thread lifting is minimal in the area such as cheek, chin line, and the around the mouth because they are located in the lower part of the fixed ligament.
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Because the fundamentally relaxed skeleton and soft tissue connection should be reconstructed by dissection and tissue regenerations, the lifting effect without dissection can last only limitedly (cf. In the case of Elasticum, it is known to be about two to three years.)

Also, in case of non-incisional lifting, the surface may become easily irregular and unnatural due to the tensional difference between the part where the force is much and the part where it is less. On the other hand, in the case of ncisional lifting, all of the force acts on the soft tissues continuously, so the effect is natural and last much longer. Therefore, for a more natural and long-lasting lifting, it is necessary to consider incisional lifting rather than less reliable thread lift.
Multiplane Facelift vs Simple Facelift
Classic facelift only with a skin incision is frequently performed before. But, proper soft tissue improvement cannot be done, but only relieve the skin wrinkles. Furthermore, a scar may be prominent due to excessive skin tension at the incision site.
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(Lifting the skin only technique cannot overcome the weight of the SMAS and deep tissues, so the effect is limited and scar might be prominent due to skin sion overloading.)
Therefore, underlying soft tissue including superficial muscular aponeurotic system (SMAS) should be redraped into the original young shape to provide a natural and long-lasting effect.
The delicate facial expression muscles, fascia, and fat layers just beneath the skin is called the SMAS layer. SMAS consists of simple tendinous portions, fatty tissues, and the facial expression muscles those make the facial dynamics linked together. It also contributes most of the thick volume of the facial soft tissue. Aging is a phenomenon in which the center of gravity moves downward in the form of teardrop from the young original inverted triangular structure. (The wrinkles that occur are actually se- condary, and sagging is the most important.) The incisional lifting has evolved to improve the deep tissues sagging from simple skin pulling. The retaining ligament should be freed to improve sagging around the mouth.
The facial soft tissue is fixed firmly to the facial skeleton and the masticatory muscle at some specific sites. There are collagen-dense ligamentous structures between soft tissue and underlying bony skeleton. These ligaments are located regularly and fix the facial tissue firmly at those points than others. We call it “retaining ligaments”.
Since the soft tissue saggings are divided by the retaining ligaments, complete and successful lifting needs relocation of ligaments with the incisional approach. The lower part of the face below the ligaments cannot definitely lift with simple thread lifting or simple skin lifting procedure especially areas near chin and mouth

"It is important to pull Skin, SMAS fascia, periosteum at the same time"

If you only pull your skin

sagging occurs again due to sagging of the fascia.
the skin + fascia + periosteum collaborated Lift

Definite change and long lasting effect
If you only pull the skin, sagging recur or scar widening at incision sites, due to sagging of the inner structures.
Multiplane facelift reconstructs the young Original inner inverted triangular structure for a long-lasting natural result.
Incision line from incisional lifting
There may present a scar along the incision line. However, scars located inside and around the ears and hair are unnoticeable.
To improve the anterior portion of the face and upper jawline, the nasolabial line and the anterior sagging, a mini facelift is used with the only preauricular incision. To improve the lower portion of the jawline and neck, hidden facelift only with the postauricular incision is enough. Depending on where you need to lift, the incision might vary, but unnoticeable
Depending on where you need to lift, the incision will vary

Mini-lifting (short scar lift)
Lifting face front

Hidden lifting(hidden lift)
Lifting neck and lower jaw line

Multiplane Facelift(full facelift + neck lift)
Full lifting
Facial nerves
The most important thing in an incisional lifting is to preserve the facial nerve. Because of this fear, many Surgeons who practice lifting recommend thread lifting, or simple lifting, which is less effective. However, since the facial nerve is basically located beneath the SMAS layer deeply, there is no damage to the facial nerve in a normal facelift.

[ Turkey Neck ]
Neck lifting also called platysmaplasty or cervicoplasty.

The jowl, the turkey neck, the lateral wrinkles of the neck and the longitudinal muscle fiber bands make one looks older. The neck lifting stretches the skin and muscles of the neck and makes the jawline straight. For a maximal effect, combination with neck liposuction and facelift procedure is recommended.
If the subcutaneous fat is concentrated around the neck and covers the original jaw and neck line and the muscle is stretched due to the decrease in elasticity, you should choose the appropriate procedure depending on the severity
  • submental incision cervicoplasty
  • full cervicoplasty, submental liposuction+ submental incision+ hidden lifting
  • submental liposuction
  • Elasticum + Accusculpt
Neck lifting Indications
  1. Who suffer from sagging neck skin, fat, and wide neck muscles (platysma)
  2. Who feel that there is a lot of fat on the neck
  3. Who want a clear chin line
  4. Who suffer from wrinkles on the neck
Lifting of the chin under the incision neck & lifting the entire neck
  1. Full cervicoplasty (submental liposuction, submental incision, hidden lifting)

    Depending on the choice of surgery, the location of the incision is different. The incision of the neck lifting is done by an incision in the back of the ear or the invisible part under the neck, and the scar is unnoticeable.

    Full neck lifting incision
    Under the chin and behind the auricle

    Submental incision

    Removing the sagging skin and fat, rearranging the skin of the neck, and suturing the platysma in the midline.

    Duration

    If you do not have excessive weight gain and skin changes due to disease, the effect last for 5 to 7 years.
  2. Submental incision with platysmaplasty

    Only with submental incision, the medial edges of both platysma muscle is repaired to obliterate the turkey neck deformity. The adjacent fat tissue can be removed at the same time. With incision which is not noticeable easily.
  3. Simple submental liposuction

    The fat around the neck looks like a double chin when viewed from the front, and when viewed from the side, the neck and jaw boundary is unclear and less definite. At this time,
    if you lower the volume of the jaw and neck through liposuction, the line below the chin will rise, and the area under the chin will become deeper. This will improve both the jaw and the neckline at the same time.
  4. Simple submental liposuction with neck Elasticum lift

    The accumulated fat around the neck and upper jaw is removed by Accusculpture laser and lifted with the Elasticum to lift sagging skin. Acute chin-neck angle can be restored.

    Elasticum, Silicone and polyester thread, unlike normal thread lifting, it has elasticity and makes muscle movements natural and last longer than conventional lifting.
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  • Operating hours

    Weekdays
    09:30~19:00
    Tue., Thr.
    09:30~20:00(Night Operations)
    Saturdays
    09:30~16:30
  • Tel.

    (+82)2.544.8807

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