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Lin, Samuel J. et al.: 2024 Neck Rejuvenation DOI: 10.1055/b-0044-201788

8 Lateral Skin-Platysma Displacement Technique

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Editors: Lin, Samuel J.; Slavin, Sumner A.; Tandon, Vickram J.

Authors: Angelini, Matteo A.; Cunha Araujo, Marcelo; Barrios, Esther; Bellamy, Justin; Boustany, Ashley N.; Chia, Christopher T.; Citarella, Enzo R.; Condé-Green, Alexandra; Couto, Rafael A.; Dayan, Erez; Dover, Jeffrey S.; Ebersole, Trina G.; Foppiani, Jose A.; Gould, Daniel J.; Grover, Ritwik; Grow, Jacob N.; Janne Hasbun, Samir; Hogan, Sara R.; Hurwitz, Dennis J.; Kaminer, Michael S.; Kaminer, Michael S.; Kochuba, Andrew L.; Maia, Munique; Matarasso, Alan; Nassar, Amer H.; Nicholas, Mathew N.; Piña, Jeremie O.; Pelle-Ceravolo, Mario; Rodriguez-Unda, Nelson A.; Rohrich, Rod J.; Sinder, Ramil; Sterodimas, Aris; Talei, Benjamin; Ziai, Hedyeh; Zins, James E.

Title: Neck Rejuvenation

Subtitle: Surgical and Nonsurgical Techniques

Print ISBN: 9781626239630; Online ISBN: 9781684202850; Book DOI: 10.1055/b000000386

1. Edition © 2024. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York

Subjects: Plastic, Reconstructive and Cosmetic Surgery

Thieme Clinical Collections (English Language)



 
Mario Pelle-Ceravolo and Matteo A. Angelini

Abstract

The most common techniques for neck rejuvenation, despite their aggressiveness, present high platysma bands and skin laxity recurrence rate. The lateral skin-platysma displacement (LSD) technique entails only a lateral approach to the neck, avoiding the submental incision. It is based on one or two composite platysma-cutaneous flaps, which are repositioned laterally through cable sutures. This technique, besides transecting the platysma completely, skews the anatomy of the muscle, displacing it in a more lateral position and thus decreasing the risk of paramedian band recurrence. The traction, applied to the midbody of the myocutaneous flaps, achieves also good results on skin remodeling. The advantage of the LSD technique compared to other techniques entailing full neck undermining are limited neck undermining, absence of submental scar, shorter operating time, faster patient recovery, satisfactory results on platysma bands and skin laxity, and easier approach to submandibular gland reduction. Other supplemental technical details are mentioned based on modification of the LSD technique, on a new cyanoacrylate glue, and on a new technique named “partial platysmectomy” used in selected cases.

Key words

neck rejuvenation - platysma flaps - platysma bands - platysma transection - platysmectomy - anterior neck flaccidity - submandibular gland reduction
 
  • 1 Connell BF. Cervical lift: Surgical correction of fat contour problems combined with full-width platysma muscle flaps.. Aesthetic Plast Surg 1976; 1 (1) 355-362 PubMed (PMID: 24173761)
    Google Scholar
  • 2 Pelle-Ceravolo M, Botti G. Surgical treatment of the aging neck. In: Midface and Neck Aesthetic Plastic Surgery. 1st ed. Firenze: Acta Medica Edizioni; 2013:838–926
  • 3 Pelle-Ceravolo M, Angelini M, Silvi E. Complete platysma transection in neck rejuvenation: a critical appraisal.. Plast Reconstr Surg 2016; 138 (4) 781-791 PubMed (PMID: 27307341)
    Google Scholar
  • 4 Pelle-Ceravolo M, Angelini M, Silvi E. Treatment of anterior Neck ageing without a submental approach: lateral skin-platysma displacement, a new and proven technique for platysma bands and skin laxity.. Plast Reconstr Surg 2017; 139 (2) 308-321 PubMed (PMID: 28121859)
    Google Scholar
  • 5 Nahai F. Neck lift. In: Nahai F, ed. The Art of Aesthetic Surgery: Principles and Techniques. 2nd ed. St. Louis, MO: Quality Medical; 2011:1675–1715
  • 6 Feldman JJ. Neck Lift. St. Louis, MO: Quality Medical; 2006
  • 8 Fogli A. The majority of necks can be corrected without a submental incision or anterior platysma procedures. Paper presented at: The Cutting Edge 2013 Aesthetic Surgery Symposium; December 6, 2013; New York, NY
  • 9 Marten TJ, Feldman JJ, Connel BF, Little WJ. Treatment of the full obtuse neck.. Aesthet Surg J 2005; 25 (4) 387-397 PubMed
    Google Scholar
  • 10 Friel MT, Shaw RE, Trovato MJ, Owsley JQ. The measure of face-lift patient satisfaction: the Owsley Facelift Satisfaction Survey with a long-term follow-up study.. Plast Reconstr Surg 2010; 126 (1) 245-257 PubMed (PMID: 20224460)
    Google Scholar
  • 11 Millard Jr DR, Mullin WR, Ketch LL. Surgical correction of the fat neck.. Ann Plast Surg 1983; 10 (5) 371-385 PubMed (PMID: 6870116)
    Google Scholar
  • 12 Hamilton MM, Chan D. Adjunctive procedures to neck rejuvenation.. Facial Plast Surg Clin North Am 2014; 22 (2) 231-242 PubMed (PMID: 24745385)
    Google Scholar
  • 13 Gonzalez R. The LOPP-lateral overlapping plication of the platysma: an effective neck lift without submental incision.. Clin Plast Surg 2014; 41 (1) 65-72 PubMed (PMID: 24295350)
    Google Scholar
  • 14 Baker DC. Minimal incision rhytidectomy (short scar face lift) with lateral SMASectomy: evolution and application.. Aesthet Surg J 2001; 21 (1) 14-26 PubMed (PMID: 19331867)
    Google Scholar
  • 16 Guerrero-Santos J, Espaillat L, Morales F. Muscular lift in cervical rhytidoplasty.. Plast Reconstr Surg 1974; 54 (2) 127-130 PubMed (PMID: 4843119)
    Google Scholar
  • 18 Gonzalez R. Composite platysmaplasty and closed percutaneous platysma myotomy: a simple way to treat deformities of the neck caused by aging.. Aesthet Surg J 2009; 29 (5) 344-354 PubMed (PMID: 19825461)
    Google Scholar
  • 19 Stuzin JM, Baker TJ, Gordon HL, Baker TM. Extended SMAS dissection as an approach to midface rejuvenation.. Clin Plast Surg 1995; 22 (2) 295-311 PubMed (PMID: 7634739)
    Google Scholar
  • 20 Stuzin JM. Restoring facial shape in face lifting: the role of skeletal support in facial analysis and midface soft-tissue repositioning.. Plast Reconstr Surg 2007; 119 (1) 362-376, discussion 377 PubMed (PMID: 17255694)
    Google Scholar
  • 21 Baker TJ, Stuzin JM. Personal technique of face lifting.. Plast Reconstr Surg 1997; 100 (2) 502-508 PubMed (PMID: 9252622)
    Google Scholar
  • 22 Marten TJ. High SMAS facelift: combined single flap lifting of the jawline, cheek, and midface.. Clin Plast Surg 2008; 35 (4) 569-603, vi–vii PubMed (PMID: 18922311)
    Google Scholar
  • 23 Mendelson BC, Tutino R. Submandibular gland reduction in aesthetic surgery of the neck: review of 112 consecutive cases.. Plast Reconstr Surg 2015; 136 (3) 463-471 PubMed (PMID: 25989302)
    Google Scholar
  • 24 Guyuron B, Sadek EY, Ahmadian R. A 26-year experience with vest-over-pants technique platysmarrhaphy.. Plast Reconstr Surg 2010; 126 (3) 1027-1034 PubMed (PMID: 20463626)
    Google Scholar
  • 25 Stuzin JM. Extended SMAS technique in facial rejuvenation. In: Nahai F, ed. The Art of Aesthetic Surgery: Principles and Techniques. 2nd ed. St. Louis, MO: Quality Medical; 2011:1471–1509
  • 26 Stuzin JM. MOC-PSSM CME article: face lifting.. Plast Reconstr Surg 2008; 121 (1) (Suppl. Suppl) 1-19 PubMed (PMID: 18182954)
    Google Scholar
  • 28 Hodgkinson DJ. Five-year experience with modified Fogli (Loré’s fascia fixation) platysmaplasty.. Aesthetic Plast Surg 2012; 36 (1) 28-40 PubMed (PMID: 21789736)
    Google Scholar
  • 29 Rosenfield LK. The pinch rhytidectomy: a safe, effective, “low SMAS” variation on the theme.. Aesthet Surg J 2014; 34 (6) 825-840 PubMed (PMID: 24923599)
    Google Scholar
  • 30 Connell BF. Pushing the clock back 15 to 20 years with facial rejuvenation.. Clin Plast Surg 2008; 35 (4) 553-566, vi PubMed (PMID: 18922309)
    Google Scholar
  • 31 Barton F. Facial Rejuvenation. St. Louis, MO: Quality Medical; 2008
  • 32 Baker TJ, Gordon HL, Stuzin JM. Surgical Rejuvenation of the Face. 2nd ed. St. Louis, MO: Mobsy; 1996