Background and objective.

The evolution of surgical techniques for facial and neck rejuvenation has been significant over the last years. The choice of technique must be personalized according to the patient's anatomical details and specificities to provide individual and personalized results.

This work aims to expose our systematic preoperative evaluation of the patients that will be submitted to a face and neck surgical

Methods.

We present our preoperative evaluation checklist (subdi¬vided into 9 steps) to recognize the individual anatomical variants and deformities.

Using the physical exam and ultrasound evaluation of the face and neck we predict some variables that can make surgery more predictable and standardized. To do so we apply our 7 steps of pre-operative Decision Making Diagram of Face and Neck Rejuvenation Surgery.

Results.

Fifty-nine patients were submitted to face and neck lift between January 2019 and June 2021 using deep plane cervico-facial techniques according to our decision-making diagram. We demonstrate 2 clinical cases.

Conclusions.

In this paper, we explain why different surgical tech¬niques should be offered to different patients considering their individual needs. Using this checklist and decision-making diagram the surgeon will be able to make individualized decisions before surgery, such as SMAS flap lift vector direction, the type of the platysma treatment or the need for deep platysmal structures approach and treatment.

This work aims to reduce the likelihood of obtaining less satisfactory results by decreasing surgical errors and making the surgery faster.

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