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To assess the methodological quality and reporting standards of facelift RCTs using the Consolidated Standards of Reporting Trials (CONSORT) and CONSORT-NPT guidelines, identifying patterns of adherence and areas for improvement.

We conducted a PRISMA-guided systematic review of RCTs evaluating facelift techniques or perioperative strategies. RCTs focusing on facelift techniques were included based on study design and relevance. Adherence to the CONSORT 2010 or CONSORT-NPT 2017 checklist was retrospectively assessed for each included study. Risk of bias was assessed using the Cochrane RoB 2.0 tool, and evidence quality was appraised via GRADE.

Ten RCTs (n=457; mean sample 46) met inclusion. Mean CONSORT adherence was 56%, with high for intervention description and statistical analysis (both 100%) but poor for tailored interventions (10%), trial registration (20%), and protocol access (30%). Adherence showed weak correlations with journal impact factor (R²=0.0024) and author count (R²=0.171). Only 3 trials were low risk of bias; GRADE certainty was largely low-moderate, limited by imprecision and suspected publication bias.

Facelift RCTs show variable, often suboptimal reporting, leaving the evidence base thin despite rising demand. Strengthening trial quality requires field-wide pre-registration and protocol publication, validated outcome measures, and consistent CONSORT enforcement; a standardized minimum dataset and registry-based reporting would further bolster evidence for facial rejuvenation surgery.

Cervicofacial surgeries (CFS) include diverse aesthetic and reconstructive procedures. Despite technical advances, complications from dead space-especially hematoma and seroma-remain relevant. Quilting sutures (QS) are increasingly used to enhance tissue adherence and reduce fluid accumulation, but evidence on their effectiveness and safety is heterogeneous. This study systematically evaluated the impact of QS on postoperative outcomes in CFS.

A PRISMA-compliant systematic review searched MEDLINE, Embase, Scopus, Cochrane Central, and Web of Science through November 2025. Eligible randomized and non-randomized studies included patients undergoing aesthetic or reconstructive CFS using external or internal QS for dead space management, with or without comparators (alternative techniques or no intervention). Primary outcomes were hematoma and patient-reported satisfaction (PRS); secondary outcomes included seroma, surgical site infection, skin necrosis, and persistent skin markings. Two reviewers independently selected studies and extracted data. Risk of bias was assessed by study design. When sufficient data were available, random-effects meta-analyses reported risk ratios (RR) with 95% confidence intervals (CI); otherwise, qualitative synthesis was performed.

Thirty-five studies including 7,095 patients met inclusion criteria (5,511 QS; 1,584 controls), with heterogeneous designs and facial, cervical, and nasal procedures. PRS was uniformly high, with most studies reporting improved comfort and recovery in the QS group, especially after nasal surgery; however, variability in assessment tools precluded quantitative synthesis. Fourteen comparative studies (2,923 patients: 1,395 QS; 1,528 controls) were pooled for hematoma analysis. QS significantly reduced hematoma risk versus controls (RR 0.10; 95% CI 0.03–0.36; p < 0.001). In a proportional meta-analysis of 29 studies (3,836 QS patients), pooled hematoma incidence was 0.4% (95% CI 0.2%–0.6%). No significant differences were found for secondary outcomes.

QS significantly reduce hematoma in CFS without increasing other complications. PRS is high, with qualitative data suggesting improved comfort. Despite heterogeneity limiting quantitative analysis of subjective outcomes, current evidence supports QS as a safe and effective method for dead space management.

Jawline and upper neck definition are crucial for aesthetically pleasing outcomes in face lifts. Still, neck rejuvenation is challenging with current techniques which can be either invasive or have minimal and short-term effects. Building upon known methods, we report on a series of patients utilizing a modified suturing technique to perform neck lifting and jaw line contouring based on submental crisscrossed platysma traction sutures. This technique is safe, reproducible and can be combined with any facelift procedure.

This series included 154 patients who underwent face and neck lift with the proposed method. After elevation of a skin neck flap through a retro auricular incision and dissection of medial platysma borders through a midline submental incision, medial platysma borders are crisscrossed in the midline using suture and anchored on the contralateral mastoid. Any extra skin from the skin flap on the lateral neck or midline incision is resected. Patients' postoperative satisfaction and perioperative complication rates were assessed.

Every patient showed improved jawline and neck lifting. The majority (94%) of the patients were satisfied with the postoperative result. Median follow up was 12 months. Minor complications included hematoma 6%, scar border suffering/dehiscence 7.7%, hypertrophic scaring 1.5% and temporary paresthesia 4.6%.

The proposed technique is a simple, safe and effective method for neck lifting and contouring of the jawline during face rejuvenation surgeries with minimal complications and high patient satisfaction.

Vascular lesions represent a multifaceted group of conditions arising from structural or functional alterations of blood or lymphatic vessels. Their clinical expression ranges from subtle chromatic variations of the skin to more complex or deforming vascular anomalies. Their management requires an integrated clinical approach that combines accurate diagnosis and the most appropriate therapeutic method.

A review protocol was developed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A comprehensive literature search was performed by two independent authors (LDP; SM) in the bibliographic databases PubMed, Web of Science, and Cochrane Library. Two independent reviewers (LDP; SM) screened all the articles and 15 were included. The following data was extracted: country, anatomical location, study and lesion type, treatment technique and number, application time; outcome; evaluation parameters; need for retreatment, duration of the effect; side effects.

The available evidence highlights several therapeutic principles. Superficial or red lesions are more responsive to green and yellow wavelengths (532 to 595 nm), owing to their high absorption by oxyhemoglobin and the their superficial location. In contrast, blue or deeper vessels require longer wavelengths (755 and 1064 nm) which offer higher tissue penetration and greater coagulation of larger-caliber structures. Therapeutic outcomes depend significantly on operator’s experience and ability to individualize parameters based on vessel characteristics, anatomical location, and patient phototype. The lack of standardized evaluation scales and the absence of treatment algorithms were remarked, further underscoring the central role of clinical expertise in guiding effective and safe treatment planning.

The treatment aim of is to achieve aesthetic, functional, and psychological improvement while ensuring maximum safety. Aesthetic medicine, alongside with surgery, is an effective complementary approach for vascular anomalies. However, a standardised protocol and a specific evaluation scale are required to better define the safety profile and outcomes of the different treatments.

Lip competency is defined as the contact of the upper and lower lips at rest, without muscular contraction or effort.

This contact at rest acts is a permanent barrier between the ambient air and the oral cavity, protecting against oral moisture. It allows for continuous nasal ventilation and a high, intra-maxillary tongue position.

Conversely, lip incompetence has functional consequences, including dry lips, which are often chapped and cracked, resulting in a dry mouth that is detrimental to oral health. Incompetence also leads to a reflex contraction of the chin muscle, a compensatory phenomenon that causes neck and back pain.
This incompetence also has aesthetic consequences, such as exposed teeth and forced lip closure: a flat, contracted chin and a raised lower lip.

In cases of maxillomandibular dysmorphosis, retrognathia is the most frequent cause of lip incompetence. The Chin Wing technique described by Albino Triaca allows for the addition of volume and height to the entire subalveolar and chin base of the mandible. Its unique design and the ability to reposition the entire mandibular base make it a preferred technique for correcting lip incompetence. We combine this with a Bioss bone graft placed between the cut bone fragments, ensuring excellent bone integration.

The Chin Wing technique improves both the aesthetics and function of the lower third of the face, repositioning the chin and the lip. It can be associated with a rhinoplasty doing a real profiloplasty, it could be part of a maxillofacial surgery with an orthognatic surgery.

The chin wing technique, with a phosphate tricalcique graft allows a real natural advancement of the chin and the lip, with an improvement of functional and aesthetic results.

Dermal thinning, progressive collagen depletion, reduced vascularity, and structural volume loss are common symptoms of facial aging. Conventional rejuvenation techniques primarily focus on volume augmentation through fillers or surgical lifting, often without directly addressing the biological mechanisms underlying tissue
aging. Regenerative techniques that encourage collagen formation, angiogenesis, and extracellular matrix (ECM) remodeling have become more popular in recent years. Autologous biologic therapies and biostimulatory agents enhance intrinsic regenerative capacity, representing a shift toward biologically driven facial rejuvenation.

A narrative review of recent English-language literature on regenerative and biologic approaches to facial rejuvenation was conducted. With a focus on mechanisms of action and clinical results, the modalities that were included were platelet-rich plasma (PRP), autologous fat-based therapies, adipose-derived stem cells (ADSCs), and biostimulatory agents.

PRP improves skin quality by releasing growth factors including PDGF, TGF-beta, and VEGF, which encourage angiogenesis and collagen formation. ADSCs improve tissue repair by supporting paracrine signaling, angiogenesis, and extracellular matrix remodeling, while autologous fat-based therapies offer volumetric restoration and biologic stimulation. Poly-L-lactic acid (PLLA) and calcium hydroxylapatite (CaHA) are examples of biostimulatory drugs that promote collagen synthesis and gradual tissue remodeling. Compared to single-modality treatments, integrated regenerative approaches demonstrate synergistic improvements in skin quality, structural support, and long-term aesthetic outcomes.

Regenerative techniques represent a new paradigm in facial rejuvenation, which moves the focus from volume replacement to restoration of tissue quality at the cellular level. Integrated biologic techniques have the potential to improve skin quality and structural support by focusing on the underlying causes of aging. To maximize clinical application and standardize techniques, more long-term and prospective comparative studies are required.

Endoscopic facelifting has gained attention as a minimally invasive technique for patients with early to moderate facial ageing. Despite its advantages, including improved midface elevation and reduced scarring, widespread adoption remains limited due to technical complexity. This study presents the author’s initial experience using a standardised technique in 100 consecutive patients.

One hundred patients underwent endoscopic facelifting between August 2024 and November 2025 in London and Zurich, Switzerland. Patients were classified into three groups according to the degree of soft tissue descent: Group I (early midface descent), Group II (additional neck laxity), and Group III (advanced signs of facial ageing).
The plane of dissection is subperiosteal in the forehead and midface, overlying the deep temporal fascia superiorly and progressing into the deep plane of the premasseteric space inferiorly. The neck is accessed through hidden incisions in the postauricular region and submental crease, extending preauricularly to the helical root in the hybrid approach.

Mean operative times were 3.6 hours (Group I), 5.7 hours (Group II), and 6.8 hours (Group III).

All one hundred patients (age range 31 to 68 years, mean 41.6; 94% female) underwent endoscopic facelifting with a mean follow up of 6 months. Complications included one neck haematoma, four temporary neuropraxias, one infection requiring washout, and one hypertrophic temporal scar. Increased midface elevation was observed postoperatively, reducing the need for adjunctive midface fat grafting or lower blepharoplasty in comprehensive cases.

In our practice, endoscopic facelifting has largely replaced open deep plane techniques in patients with good to moderate skin quality. The described approach provides consistent results, is less complex and shorter to perform, while delivering effective facial rejuvenation with minimal scarring and reducing commonly associated stigmata of facelift surgery.