Today, I want to talk to you about the differences between the mandibular mini-lift, the vertical mandibular lift using endoscopy, and the neck lift. It’s essential to clarify these procedures, as surgery is always highly personalized. There isn’t a one-size-fits-all solution; instead, the procedure is chosen based on the primary issue of each patient.
When aiming to improve the lower third of the face, if the relaxation is mild and localized along the mandibular contour (commonly referred to as the “jowline”), an endoscopic approach can be taken. This technique does not require incisions in front of the ears and allows access to the mandibular angle, lifting it vertically.
In cases where the sagging is more pronounced, with laxity extending to the area near the mouth, a vertical lift alone is insufficient. In these situations, the *mandibular mini-lift* is recommended. This involves small incisions around the ear, traction of the SMAS (the deep facial structure), and the removal of a small amount of skin.
When the sagging also affects the neck, with visible platysmal bands (the muscular folds under the neck), a more comprehensive approach is required. In this case, the *NAL lift* is employed, a technique I published years ago in the *European Journal of Plastic Surgery*. This procedure involves repositioning the platysma muscle using a minimally invasive method. Instead of cutting the muscle, a small band is applied to anchor and securely tighten the muscle behind the ears, improving the appearance of the neck.
In summary, there are various approaches to treating the lower part of the face, but no single solution works for everyone. The ideal procedure always depends on the specifics of each case. Therefore, remember that a preliminary consultation is crucial to identify the best solution for your needs.