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Hello, this is Dr. Nakao from Nakao Plastic Surgery.

This is a before and after surgery case of these Incisional Lifts: 

- Deep Plane Facelift

- Neck Lift (Lateral Neck Lift)

- Pelican Surgery (Platysmaplasty)

- Liposuction of the sides the mouth

This patient has a history of Mini Facelift, Embrace RF and Thread Lift treatments.

For the Deep Plane Facelift, after performing subcutaneous dissection, we accessed the area beneath the SMAS layer. However, due to the history of several past treatments, it was somewhat challenging to reach this area. However, once we accessed under the SMAS, the tissue was in good condition.

As you can see in the picture, the hidden chin became visible.

Platysmaplasty or Pelican Surgery was combined with the procedure and during the incision under the chin, where a significant amount of fat was found above and below the platysma muscle. This fat was excised and the platysma along with the surrounding tissue was carefully manipulated to shape the chin area.

Liposuction can also be used to contour the jawline, but even in younger patients, tissue laxity is often the main cause rather than fat. In this case, opting for a neck lift was a viable option.