Precision Tx™ Minimally Invasive Neck Lift

Cynosure’s Precision TX for lower face and neck revitalization is a minimally invasive procedure for patients seeking a more youthful appearance with minimal downtime. Using the patented SideLase 800 side-firing fiber and ThermoGuide temperature-sensing cannula, Precision TX treats the lower face and neck to help patients achieve a more revitalized appearance. 1440 nanometer wavelength energy is delivered to the treatment area. Depending on the desired effect, laser energy can be delivered to treat troublesome areas of fat and skin laxity around the lower face and neck.

First, the SideLase 800 side-firing fiber and ThermoGuide cannula are inserted through a tiny incision site. Using short strokes to optimize energy delivery, Precision TX can treat areas of fat by directing the laser energy downward. Fat cells are disrupted through a thermal and photomechanical effect at the tip of the SideLase 800 fiber. Next, the laser energy is directed upward to treat the subdermal. Precision TX clinical studies have demonstrated an increase in collagen production through the coagulation of soft tissue. With Precision TX, patients can expect dramatic results for lower face at neck revitalisation with a procedure that can be done in one hour with minimal downtime. Precision TX delivers the results patients want and the outcomes physicians demand. Cynosure’s Precision TX for patients seeking a more youthful appearance, dramatic results with minimal downtime.

Dr. Claytor here. Wanted to share with you the non-surgical neck lift. How does that work? First of all, we need to understand anatomy. So here we have the patient’s jawline. Here’s their jawbone. Here is the underlying bony structure and here is that contour on the neck with that hanging fat. And so it’s not just an excess amount of skin but it’s also extra fat. So how do we deal with that?

First thing we have to do is come in with liposuction, so that’s a liposuction cannula. Then we take and come in just behind the ear and go down here and suction out that fat. And so you can see these small holes at the end of the liposuction cannula suck out that fat. And that helps reduce the amount of fat volume that’s in the neck. That was really all we had years ago.

And then we moved on and we developed the precision TX SmartLipo laser. So this is a laser that we can put in also just behind the ear and reach down here, or you can also enter just underneath the chin here and come in. And the thing that’s unique about the Precision TX SmartLipo laser is that it’s bi-directional. It shoots out the end of the laser as well as out the side so it’s a side-firing laser as well. And what that allows me to do is turn, and so I can turn that laser and shoot out at the skin, or I can shoot down at the underlying muscle. When I shoot out at the skin I’m tightening the skin. When I shoot down at the muscle I’m removing the fat layer in addition to the liposuctioning.

Then, really, the exciting part about the non-surgical neck lift is the Ellevate suture. This is a absolutely transformative part of neck rejuvenation. And the reason for that is we can remove this fat, we can tighten the skin, but ultimately we’re left with the basic triangle that makes up the angle of the jaw. And we’ve got this extra skin here. If you want to take this distance which is longer than this distance and bring that tissue back up and recreate that beautiful neckline.

So how do we do that with the Ellevate suture? So this is the device here; it detaches so that I’m able to pass it through and then reattach it to the light source. And the reason the light source is important is it helps get it that exact level as you’re doing that tissue dissection. And so you start out right here in the middle: so we’ll bring down our magnets. which represent the pivot points. Again remember the first part is the liposuction where we go in with the cannula and we remove most of the fat cells. Now the problem with that, if you do that then you may have the hanging skin. So you come along with the precision TX SmartLipo laser and you go in and—remember it’s bi-directional so you can be firing the laser into the skin which helps with skin tightening and also removing more of the fat.

Now we need to work on taking that loose skin that’s had the fat removed with liposuction and the skin tightened with the Precision TX, and we need to tighten it using the Ellevate suture. So the way we do that is this enters into the tissue and then I slide it along here and then pull through the suture. So effectively what this looks like is, I put this stitch here and then I reattached this, and now I’m able to tunnel over to my next point. And so I go over to here and then when I pop out of the skin I’m able to pull this through. And this sits like such. So you can start to see how this suture underneath the skin is going to allow for the redraping and pulling.

The real key is that we need to anchor it up here. That is the anchor. Now we’re going to come up to here—the suture is going to go along to here. And then we’re going to go up tunnel again further and come out right behind the ear. The ear has a dense amount of connective tissue attached to the mastoid bone and will allow us to anchor the suture as we’re pivoting and coming back down here where we want to have the pull, and pull this tissue back but it needs to be anchored off of here. So now we come along here, bring it through here, pop it out, draw it through the tissue, and the suture ends right here. So you can see that by pulling on this, what’s going to happen is this tissue will be moved. Now that tissue will be moved back in that direction by the pull that’s pivoting off of that anchor. As the suture pulls, everything that’s been loosened up with the liposuction and the Precision TX allows now the new neck contour comes like that.

The truly amazing part of the Ellevate suture technique is as this is tied together—and this is a permanent suture—that takes and moves this neckline back and creates this beautiful jawline and it holds it because it’s permanent. It’s percutaneous because the biggest incision that I had to make was as big as this which is about two millimeters in size. So they’re virtually invisible incisions. And then the most important thing is that the old neckline, which was here, if you draw a line out comes out some point over here. Now the new neckline: you draw a line up here, comes right through the base of the nose. By doing so, now this beautiful neckline has been created, and it’s being held in place with the Ellevate suture after the fat was liposuctioned out and the skin and muscle were tightened with the Precision TX Smart Lipo. So this is the minimally invasive—or really even you could call it the non-surgical—neck lift. I hope you found this helpful. Thanks so much.