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DOI: 10.1055/s-0029-1242180
The Submental Fat Compartment of the Neck
Publikationsverlauf
Publikationsdatum:
16. November 2009 (online)
ABSTRACT
The anatomic understanding of the superficial compartments of the head and neck are evolving. Recently, studies have shown that the superficial fat is sequestered into separate “compartments”; however, the superficial anatomy of the submental region of the neck has yet to be defined, and improved understanding of this area may lead to advances in our ability to rejuvenate the neck. This cadaveric investigation revealed that there is one superficial fat compartment in the submental region. The anterior boundary of this compartment, previously without name, has been labeled the “submental septum.” The posterior boundary of the submental fat compartment is created by a septum that arises from the platysma at a point superficial to the hyoid. Because this area is over the hyoid, it has been named the “suprahyoid septum.” The lateral septal boundaries have been labeled the “digastric septae.”
KEYWORDS
Submental fat - fat compartments - neck rejuvenation - submentoplasty
REFERENCES
-
1 Hollander E.
Die kosmetische chirurgie . In: Joseph M Handbuch der Kosmetik. Leipzig, Germany; Von Veit 1912: 688 - 2 Joseph J. Hangewangenplastik (Melomioplastik). Dtsch Med Wochenschr. 1921; 47 287
- 3 Schuster R H, Gamble W B, Hamra S T, Manson P N. A comparison of flap vascular anatomy in three rhytidectomy techniques. Plast Reconstr Surg. 1995; 95 683-690
- 4 Gamble W B, Manson P N, Smith G E, Hamra S T. Comparison of skin-tissue tensions using the composite and the subcutaneous rhytidectomy techniques. Ann Plast Surg. 1995; 35 447-453 discussion 453-454
- 5 Rohrich R J, Pessa J E. The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg. 2007; 119 2219-2227 discussion 2228-2231
- 6 Rohrich R J, Pessa J E. The retaining system of the face: histologic evaluation of the septal boundaries of the subcutaneous fat compartments. Plast Reconstr Surg. 2008; 121 1804-1809
- 7 Vistnes L M, Souther S G. The platysma muscle. Anatomic considerations for aesthetic surgery of the anterior neck. Clin Plast Surg. 1983; 10 441-448
- 8 Ellenbogen R, Karlin J V. Visual criteria for success in restoring the youthful neck. Plast Reconstr Surg. 1980; 66 826-837
- 9 Bitner J B, Friedman O, Farrior R T, Cook T A. Direct submentoplasty for neck rejuvenation. Arch Facial Plast Surg. 2007; 9 194-200
- 10 Schaverien M V, Pessa J E, Rohrich R J. Vascularized membranes determine the anatomical boundaries of the subcutaneous fat compartments. Plast Reconstr Surg. 2009; 123 695-700
- 11 Magden O, Edizer M, Tayfur V, Atabey A. Anatomic study of the vasculature of the submental artery flap. Plast Reconstr Surg. 2004; 114 1719-1723
Larry H HollierJr. M.D. F.A.C.S.
Professor and Program Director, Division of Plastic Surgery, Baylor College of Medicine, Texas Children's Hospital
6621 Fannin, MC-CC610.00, Houston, TX 77030
eMail: larryh@bcm.edu