case_images: PMC9542876_01
case_images: Pre-operative status.
case_images: ICRP_A_2128805_F0001_C.jpg
case_images: PMC9542876_01_ICRP_A_2128805_F0001_C.jpg
case_images: F0001
case_images: 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.
case_images: Eleven days postop.
case_images: ICRP_A_2128805_F0002_C.jpg
case_images: PMC9542876_01_ICRP_A_2128805_F0002_C.jpg
case_images: F0002
case_images: On POD11, the patient is transferred intubated to our hospital university intensive care unit (Figure 2).
case_images: CT scan four weeks postop.
case_images: ICRP_A_2128805_F0003_C.jpg
case_images: PMC9542876_01_ICRP_A_2128805_F0003_C.jpg
case_images: F0003
case_images: On POD25, edema begins to subside clinically and on nasofibroscopy &CT scan (Figure 3); the patient is therefore extubated.
case_images: Six weeks postop.
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case_images: PMC9542876_01_ICRP_A_2128805_F0004_C.jpg
case_images: F0004
case_images: She is discharged at six weeks postop (Figure 4).
case_images: Three months postop.
case_images: ICRP_A_2128805_F0005_C.jpg
case_images: PMC9542876_01_ICRP_A_2128805_F0005_C.jpg
case_images: F0005
case_images: 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).