Innovations in Rhytidoplasty: 480 Cases Validating the Efficacy of the Inner Hemostatic Net.

Abstract

Background: Cervicofacial rejuvenation procedures often face challenges related to soft tissue repositioning, dead space management, and long-term contour stability. The Internal Hemostatic Net (IHN) technique offers a systematic approach to deep fixation that improves surgical outcomes and reduces complications such as hematomas or tissue displacement.

Objectives: To describe a reproducible, layered suture technique for cervicofacial lifting that addresses deep neck contouring and flap stabilization through a combined submental and lateral approach, while minimizing the risk of postoperative complications.

Methods: A prospective evaluation was conducted on patients undergoing cervicofacial lifting with IHN application. The technique involves three phases: submental quilting and fixation sutures after deep neck sculpting; lateral progressive tension and SMAS-platysma anchoring sutures; and superficial quilting for flap adherence. A progressive reduction in suture caliber is applied according to tissue thickness. A double incision approach (submental and lateral) ensures controlled access and uniform distribution of vectors.

Results: The technique was applied in over 100 patients with consistent aesthetic improvements and no major complications. The elimination of dead space through deep-layer quilting and progressive tension sutures reduced hematoma rates and improved long-term contour definition. Minor complications were self-limiting and managed conservatively. The standardized sequence improved intraoperative control and postoperative predictability.

Conclusions: The IHN technique provides a reliable, anatomically guided method for cervicofacial rejuvenation. By addressing the neck, face, and submental regions in a structured sequence, this approach enhances surgical precision, flap stability, and patient outcomes-offering a valuable contribution to aesthetic surgery literature.