Optimized Closure Sequence for Skin Flap Adaptation in Deep Plane Facelift and Necklift

Introduction: Facelift surgery has undergone significant advancements; however, the meticulous sequence for skin closure remains relatively overlooked in the literature. While prior research has predominantly focused on deeper tissue manipulation, this article introduces an optimized closure sequence for skin flap adaptation during facelift and necklift procedures. Methods: The proposed technique employs a deep plane approach combined with an optimized sequence for skin closure. Crucial anatomical reference points are identified, and a systematic suturing sequence is outlined to ensure tension-free closure and stable flap configuration. Results: A total of 172 patients underwent deep plane facelift and necklift surgery, comprising 97.7% females and 2.3% males, with a mean age of 53.5 years. High satisfaction (98.3%) was reported, with minimal scarring. Minor cosmetic concerns (1.7%) were effectively addressed, and no other complications were observed, demonstrating the efficacy of this sequence technique. Conclusion: This study presents a detailed, comprehensive sequence for optimizing skin flap adaptation in facelift surgeries, thereby enhancing surgical proficiency and patient satisfaction. By addressing this critical aspect, it aims as a valuable resource for surgeons seeking to refine their closure techniques, enhance patient outcomes and minimize scarring. Level of Evidence: V