In-Office Surgical Procedures for Prejuvenation

Aims and Backgrounds: This review describes surgical interventions that address structural and anatomical changes in younger patients with the aim of delaying traditional rejuvenating or corrective surgery in an operative setting. Historical Aspects: Traditionally, surgical procedures like submentoplasty and rhytidectomy are used to rejuvenate and/or correct anatomical, structural, and/or age-related defects in patients with advanced aging. Anatomy: For appropriate younger patients, we describe a shift away from cutaneous, surface-level changes to procedures aimed to correct structural changes resulting from aging, trauma, or genetic manifestation, specifically addressing submental fat, plastysmal diastasis, jowling, and periorbital dermatochalasis. Patient Selection: Candidates are younger patients with high skin elasticity and mild structural changes. Techniques: Targeted procedures include submentoplasty, mini-facelift, and preservation-focused upper and lower blepharoplasty performed in the office, under local anesthesia for younger patients. Postoperative Care: Emphasis is placed on compression, cold therapy, and supplements to minimize downtime and swelling. Conclusions and Clinical Relevance: In appropriate patients, the surgical, structural prejuvenation techniques described herein offer a proactive, durable result from procedures performed entirely in-office.