PMC9542876_01
Pre-operative status.
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A 21 year-old healthy woman (BMI 25 kg/m2) with submental fat excess and poorly defined jawline underwent submental and lower face RFAL technology of Necktite under local anesthesia (Figure 1) in a private clinic by a plastic surgeon well-experienced in RFAL.
Eleven days postop.
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On POD11, the patient is transferred intubated to our hospital university intensive care unit (Figure 2).
CT scan four weeks postop.
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On POD25, edema begins to subside clinically and on nasofibroscopy &CT scan (Figure 3); the patient is therefore extubated.
Six weeks postop.
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She is discharged at six weeks postop (Figure 4).
Three months postop.
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At the follow up visit three months postop, despite daily massage and intermittent compression garments, significant soft tissue hardening and contour deformity persist, associated with bilateral marginal mandibular nerve palsy, submental hypesthesia and dysphonia due to prolonged intubation (Figure 5).