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Introduction

There is an increasing demand for improving physical appearance. We live in a global world where the media, society, the workplace environment, and maybe fashion have some influence in this regard. The process of facial aging is multifactorial and progressive . Age undoubtedly has the most important role in soft and skeletal tissue atrophy; however, food, exercise, and certain genetic characteristics also participate.

The various reasons and demands for maintaining a youthful appearance are the variables for which younger patients request surgeries, especially so-called minimally invasive procedures. Minimal evidence of scars, low risk, and rapid recovery make these procedures attractive.

Another aspect that undoubtedly drives this group of patients is the restoration of soft tissue preserving the naturalness of facial features, thus avoiding the uncomfortable antiesthetic variable of altering the original facial features, precisely in relatively young patients. In fact, some patients desire modifications of specific facial esthetic units. In this aspect, we are seeing more young patients who dislike the premature appearance of jowls because they represent a sign of aging, which may not correspond to the chronological age of the individual. This appearance causes a lack of esthetic definition between the face and the neck , a look that can displease the individual and which may be a reason for seeking specific treatment. In particular, we think that the presence of jowls gives the feeling of a loss of the frame of the face due to an alteration of the perspective of the mandibular contour from the angle to the chin.

For this purpose we propose an alternative technique to specifically correct the jowls through a truly minimally invasive procedure called “mini-invasive boomerang-plasty for esthetic restoration of the lower third of the face due to aging” ( mini-boomerang-plasty to lower face lift ), which involves two limited pre- and retroauricular incisions.