We present our experience of using the UROLASE+ surgical system, based on thulium laser technology, in the context of plastic surgery. Our work with the thulium fiber laser for soft tissue dissection in vitro, ex vivo, and in vivo is described, and the positive outcomes of using the thulium fiber laser, which has not previously been employed in aesthetic surgery of the face and body, are demonstrated in this study. Integration of the thulium fiber laser may enhance safety and facilitate tissue dissection through more precise interventions, reduced blood loss, and improved clinical outcomes. This is particularly relevant for patients who have undergone cosmetic procedures leading to fibrotic changes in soft tissues, which complicate inter-tissue dissection when using traditional methods.

Summary: In the current era of advanced technologies, robotic surgery is rapidly evolving. New articles are emerging on the use of robots in general surgery, urology, and oncology, with single cases in maxillofacial surgery. In this article, we describe the successful use of robotic techniques for simultaneously performing suturing repair of the diastasis of the rectus abdominis muscles, aesthetic correction of the anterior abdominal wall with lipoabdominoplasty, and cholecystectomy. That, according to our knowledge, has not ever been done before.

This review is devoted to the issue of age-related changes of the lower third of the face and modern methods of their correction. In addition to historical milestones in development of platysmaplasty, the authors present complex approach to rejuvenation of the lower third of the face and neck. According to literature data, modern plastic surgeons should be confident in several methods of correction of face and neck aging, as well as combination with minimally invasive technologies. Cosmetology and plastic surgery should complement each other for favorable long-term results. This article systematizes knowledge in facial and neck rejuvenation that sets the vector for individual approach based on anatomical features and type of the face.

The pursuit of youth and attractiveness is a fundamental desire in contemporary society. For many individuals, the appearance of visible signs of aging, such as skin laxity, gravitational changes in facial and neck soft tissues, and loss of harmonious proportions, can be psychologically distressing. The choice of effective methods for addressing these changes depends on their specific characteristics, the patient’s anatomical features, and the type of facial aging. The introduction of 3D imaging to determine the hyoid bone level, the volume of soft tissue structures in the cervico-mental area, ptosis of subplatysmal structures, and the volume of submandibular glands, in addition to ultrasound study of the submental projection at the preoperative stage, are key for making the best decisions regarding preoperative planning. This case report aims to illustrate how modern imaging techniques are a fundamental part of the preoperative assessment of the mid and lower third of the face to ensure the most favorable aesthetic outcomes for each patient.

Background: In recent years, the development of robotic surgery has been rapidly evolving as well as the interest in their use due to the advantages they provide, such as precision in dissection, the ability to magnify the visualization of the operative field up to 20:1, and the ability to operate in hard-to-reach areas that otherwise cannot be achieved using the traditional methods. Research is being published constantly on the utilization of such robots within the fields of general surgery, oncology, and urology, with few cases in maxillofacial surgery. Methods: There are no docking algorithms or methods for plastic surgery operations, especially those involving the head and neck area. In this article, we explore different docking methods with da Vinci Si, Xi, and 5 surgical systems for aesthetic facial and neck surgery. Results: The results of the multiple different techniques used highlighted a few possible access points, whereas others were deemed impractical due to certain limitations such as the limited maneuverability of the robot’s arms, the angles required for safe access, and the patient’s body limiting the movement of the robot. Da Vinci 5 comes with significant advantages compared with its predecessors due to its novel and improved technologies, such as force feedback technology and artificial intelligence greatly enhancing the robot’s usability. Conclusions: Robotic surgery is a viable operative method that is beneficial for improving the outcomes when using the appropriate docking methods.

Summary: One of the most common complaints of patients seeking plastic surgery is the presence of age-related changes in the lower third of the face. These often include vertical platysmal bands, a double chin, Venus rings, the absence of the cervico-mental angle, hypertonicity of the muscles in the mental area, and insufficient projection of the chin. The development and implementation of less-traumatic methods of correction of the lower third of the face and harmonization of the projection of the cervico-mental region remain relevant. This article discusses a comprehensive and individualized approach with minimally invasive techniques for correcting age-related changes in the lower third of the face and harmonizing the definition of the jawline. Isolated platysmaplasty with autologous local fat grafting to the chin is effective, safe, minimally invasive, and has a short rehabilitation period, with stable long-term aesthetic outcomes.