Facial Plast Surg 2012; 28(01): 126-134
DOI: 10.1055/s-0032-1305794
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Web Lift and Posterior Pull for the Aging Face

Waleed H. Ezzat
1  Department of Otolaryngology–Head and Neck Surgery, Boston University School of Medicine, Boston, Massachusetts
Chiara Andretto Amodeo
2  Department of Plastic and Reconstructive Surgery, University of Pavia, “Salvatore Maugeri” Foundation Research and Care Institute, Pavia, Italy
Gregory S. Keller
3  Department of Surgery, Division of Head and Neck Surgery, David Geffen School of Medicine, University of California–Los Angeles, Los Angeles, California
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14. März 2012 (online)


There are many factors that contribute to the aging neck. We have recently begun employing a percutaneous suture spanning the submentum combined with a posterior platysma pull. We present our initial results with this technique. In this retrospective study, subjects underwent the combined procedure with and without concomitant rhytidectomy. Cephalometric analysis was used to compare the preoperative cervicomental angle (CMA) and hyomental distance (HMD) with postoperative values at 4 weeks. Subjects also were queried on their postoperative satisfaction. Twenty-five subjects were included in this study. At 4 weeks postoperatively, we achieved significant reductions in the average CMA (134.8 versus 122.8, p = 0.002). The postoperative HMD significant increased an average of 1.9 cm (8.5 versus 10.4, p = 0.009). We achieved a 92.3% satisfaction score at 33 weeks (range = 25 to 44). The combination of a percutaneous suture across the submentum and a posterior platysma pull is a safe and effective method of addressing the many facets of the aging neck. Our initial results are easily reproducible and entail minimal morbidity to the patient.