Combined Deep Plane Facelift/Necklift and Inspire Hypoglossal Nerve Stimulator Surgery

A 63 year old female patient presented to our office with two chief complaints, (1) severe OSA with CPAP intolerance and (2) cosmetic face and neck concerns regarding facial rhytids, jowls, and neck laxity. She was evaluated for Inspire candidacy and found to be an appropriate candidate. She underwent a combined Inspire hypoglossal nerve stimulator implant and deep plane facelift and necklift surgery to address her sleep apnea and her cosmetic concerns. Through the combined approach, we were able to provide appropriate exposure for the hypoglossal nerve implant and achieve excellent cosmetic results. Techniques utilized that contributed to her superior cosmetic results include gonion augmentation, partial submandibular gland resection, anterior belly of the digastric resection, and extended platysmal myotomy and plication. We demonstrate through this case that deep plane facelift/necklift and Inspire hypoglossal nerve stimulator implant can be performed together safely and with successful sleep and cosmetic outcomes. Laryngoscope, 135:2014-2016, 2025.