Neck lift with a machine called Sorisa based in Spain? (Photo)

Question

There must be an equivalent here in the U.S.? I read that it's very effective for non-invasive neck rejuvenation issues. Would love to hear from physicians any input on the subject of (noninvasive) treatments for fixing neck/jowls; my neck bands/rings and triangular hollows. Thanks!

John Mesa, MD · Answer

Machines and equipments available for patient use over seas (eg. Spain) most of the time are not available in the US. The reason is that in order for a machine that treats patients to be sold in the US, it has to pass FDA approval.  FDA approval means the machine is safe to be used in the US. There are some machines to improve the lower face and neck appearance like Fractora Radiofrequency by InmodeMD. However, this or other tightening skin machines are not as powerful as a neck lift to rejuvenate the neck

Stephen Prendiville, MD · Answer

My advice is very simple with such noninvasive machines: save your money.  The photos show a neck that would best be approached with surgery for a meaningful aesthetic result.  I fully understand that you may not want to have a surgical procedure, but it is the only thing that will be effective in this circumstance.

Christian Subbio, MD · Answer

I am always on the look out for new machines and lasers and devices to be able to offer my patients noninvasive treatments who are not ready for surgery.  However, let me warn you that the vast majority of these come and go.  The short answer is, if it is too good to be true, it probably is.  If this "Sorisa " machine really were an amazing noninvasive fix, surgeons in the US would be tripping over themselves to be the first to offer it.  There is a reason why I've never heard of it, and I keep up on the latest things at conferences every year.Visit with a plastic surgeon whom you trust, and who offers noninvasive modalities, to get the real story.Best of luck!
Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Matthias Solomon, MD · Answer

You have platysmal bands, excess neck skin and jowls. Non invasive treatments cannot correct anything except make the neck skin slightly tighter. In my opinion, your best option will be a face/neck lift.

William Portuese, MD · Answer

The neck is composed of skin, muscle, and fat deposits above and below the platysma muscle. When patients have significant jowls, a lower face and neck lift is required.  In our practice a neck a lower face   and neck lift involves tightening loose facial and neck skin, tightening loose facial /neck muscles, lifting the jowls, and performing a platysma plasty along with relmoval of fatty deposits in the neck

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years.  This device appears to use a topical electrical current applied to the skin that is supposed to tighten laxity in the face and neck.  Fro the photos, your face has "jowls" and loose skin in the neck.  There are numerous versions of micro current devices available here in the US.  It's important to keep all of these "heavily marketed" non-invasive so called skin tightening procedures and devices in the proper perspective.  Non-invasive techniques typically shrink the skin several mm's.  There are 25.4mm's in one inch.  The minimally invasive facelift described below can remove 2 to 3 inches of skin which equals 50.8 to 76.4 mm's or up to 25 times the amount of loose skin provided by non invasive techniques.  That reality should always be front and center in the decision making for prospective facelift patients when comparing these results with a non invasive skin tightening device or treatment.  It should also be noted that non invasive techniques have no ability to properly dissect, elevate, trim and re-suture the SMAS layer or reduce excess fat in the lower face making them one dimensional at best.    I have performed facelifts for over 30 years and have performed many minimally, invasive SMAS type facelifts.  "Jowls” are sagging facial tissues and are the primary indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
Hope this helps.

Jon Ver Halen, MD, FACS (license suspended) · Answer

Hello and thank you for your excellent question. While there are numerous non-invasive techniques available for skin tightening, I think you would be best served with a surgical neck lift, especially considering your platysmal bands. Laser assisted liposuction or botox injection into the neck bands may help improve your result. Preoperative visualization and surgical simulation with the Crisalix system may help with your decision. Any treatment plan should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation in person with a qualified board-certified plastic surgeon. Good luck!

Best,
Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Best,
Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

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