Improvements in the cervical angle and anthropometric distances using elasticum suspension

Aim:This study aims to characterize the effects of elastic facelifts using the elasticum suspension technique on the cervical angle and anthropometric distances.Methods:Forty-six patients underwent surgery.Two 4-5 mm incisions a few centimetres apart were made at sideburn.Through blunt dissection,the deep temporal fascia was approached.An elastic thread(Elasticum®)was anchored to this fascia.A 1.0 cm incision was made just in front of the earlobe.The elastic thread was anchored to the tympanoparotid fascia.Jano needle was passed under the skin surface,as determined by the depth mark of the needle along the cervicomandibular angle,and the elastic threads were looped around the contralateral tympanoparotid fascia.Standard lateral photographs were taken and evaluated.Results:The elasticum suspension significantly decreased the cervical angle(P<0.001,-5.5±9.8%).This procedure significantly decreased the distance from the gonion-gnathion to the labiale inferioris(Gn-Li)(P<0.001,-18.4±25.5%).The ratio of the distance from Gn to the cervical point(Gn-C)to Gn-Li increased significantly(P<0.001,62.8±85.8%)and the ratio of the distance from C to the visible thyroid cartilage(C-T)to Gn-C decreased significantly(P=0.007,-7.1±45.2%).Conclusion:Elasticum suspension may be a satisfactory minimally invasive method for facelifts,brow lifts,and neck lifts.