Comprehensive Face and Neck Rejuvenation: A Synergistic Approach to Authentic Beauty

As we age, facial aging manifests through a complex combination of structural tissue descent, volume loss, and decreased skin elasticity. During a recent clinical consultation with a fifty-seven-year-old patient, we identified several classic signs of this progression: a heavy-looking gaze with drooping eyebrows, excess skin on the upper eyelid, hollowing and sagging in the mid-face, loss of jawline definition, and severe platysma laxity in the neck.


Addressing such a comprehensive set of concerns requires more than a single procedure; it demands an integrated, highly personalized surgical strategy. The surgical plan designed for this patient is built upon four fundamental pillars, carefully selected to lift and reposition tissues back to their youthful anatomical positions.

The cornerstone of the upper face rejuvenation is the Endoscopic Lifting, specifically the MIVEL II technique. This minimally invasive approach allows for the precise repositioning of the eyebrows and the central part of the face through minimal incisions. This is seamlessly combined with a conservative upper blepharoplasty, designed to clean up the excess skin on the upper eyelids, immediately restoring a rested and bright appearance to the eyes.

To address the lower face and neck, we employ an advanced Neck Lift utilizing the NAL technique. This effectively tightens the jawline and neck by repositioning the underlying platysma muscle, to restore a sharp, youthful contour. Finally, the true innovation in modern facial plastic surgery lies in combining structural repositioning with regenerative medicine. By integrating SEFFILLER regenerative therapy, we harness the power of the patient’s own adipose-derived stem cells to rejuvenate the skin from the inside out, significantly enhancing tissue quality and vitality.

The same case is also presented in this second video, with the before and after comparison:

This synergistic approach is the key to achieving natural, harmonious, and long-lasting rejuvenation. To learn more about customized treatment plans, please reach out to our team: Contact Us.

About the author

Prof. Alessandro Gennai, MD, specialist in General Surgery (University of Modena, degree and specialization cum laude), graduated cum laude from the International School of Aesthetic Medicine of the Fatebenefratelli Foundation in Rome. Creator of the MIVEL® (Minimal Incisions Vertical Endoscopic Lift), SEFFILLER® and SEFFIHAIR® techniques, author of "Endochirurgia estetica del volto" (Aesthetic Endoscopic Surgery of the Face). Registered with the Medical Council of Modena, no. 4230, member of AICPE. Practices in Milan, Bologna and Modena.
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