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.

CONCLUSION AND CLINICAL RELEVANCE: In appropriate patients, the surgical, structural prejuvenation techniques described herein offer a proactive, durable result from procedures performed entirely in-office.