Taking Face Lifts to the Next Level: Case Series Reflecting the Safety and Efficacy of Plasma Resurfacing with Face and Neck Lifts

Early human evidence such as case series or small samples is exploring possible benefits.

• Level A · Stronger Clinical Evidence
• Level B · Emerging clinical evidence with positive signals
• Level C · Early human research exploring benefits
• Level D · Scientific groundwork from lab and animal studies
• Emerging · Emerging topic under active research

Abstract (original English)

Background Deep facial skin resurfacing with plasma technology is known to produce superior correction of deep rhytids and photoelastosis. When combined with a rhytidectomy, total facial rejuvenation can be achieved in a single surgical session and recovery period. Methods A single surgeon's experience (2017 to 2025) is presented involving 96 consecutive patients (93 women and 3 men; age range, 48 to 86 years) who underwent a single-session combination of face and neck lifts, full-face fat grafting, and full-face deep plasma skin resurfacing. Helium plasma radiofrequency was used in 84 patients, and nitrogen radiofrequency plasma was used in 12 patients. A subset of 20 patients underwent additional computerized skin analysis preoperatively and at 90 days postoperatively. The longest follow-up was 6 years. Results Computerized analysis showed decreased upper cutaneous lip height (0.25 to 2.47 mm; average, 1.26 mm), decreased skin age (1 to 9 years; average, 4.27 years), improved elasticity (1 to 20 years; average, 9.81 years), rhytid reduction (1 to 22 years; average, 7.36 years), and ultraviolet spot reduction (1 to 9 years; average, 4.54 years). The 4 complications (4 of 96 patients [4.1%], all in the helium radiofrequency group) included transient cellulitis (1 patient) and hypertrophic scarring (3 patients). No skin necrosis occurred. Results demonstrated significant correct

Evidence level

Early human evidence such as case series or small samples is exploring possible benefits.

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