Facial Plast Surg 2014; 30(04): 451-461
DOI: 10.1055/s-0034-1383553
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Direct Cervicoplasty

J. Randall Jordan
1   Department of Otolaryngology, University of Mississippi Medical Center, Jackson, Mississippi
,
Seth Yellin
2   Marietta Facial Plastic Surgery, Marietta, Georgia
› Author Affiliations
Further Information

Publication History

Publication Date:
30 July 2014 (online)

Abstract

Rejuvenation of the aging neck is one of the common reasons for the patients presented to facial plastic surgeons. In the author's opinion, most of these patients will be best served by a full rhytidectomy approach with periauricular incisions, skin flap undermining, and platysmaplasty. There is a subset of patients, however, who presented with complaints limited to the so-called Turkey Gobbler deformity, and who do not wish to undergo a full rhytidectomy approach. These patients may be well served by a lesser procedure such as a direct cervicoplasty or submentoplasty. The advantages of this approach include shorter operative time, faster recovery, and lower complication rates. The primary disadvantage of these more limited approaches is that there is an anterior cervical scar that may be visible under some conditions. This article will review the multiple options for skin incisions as well as details of the technique that the authors have found may lead to a successful rejuvenation of the submental region.

 
  • References

  • 1 Cronin TD, Biggs TM. The T-Z-plasty for the male “turkey gobbler” neck. Plast Reconstr Surg 1971; 47 (6) 534-538
  • 2 Ehlert TK, Thomas JR, Becker Jr FF. Submental W-plasty for correction of 'turkey gobbler' deformities. Arch Otolaryngol Head Neck Surg 1990; 116 (6) 714-717
  • 3 Kamer FM, Pieper PG. Surgical treatment of the aging neck. Facial Plast Surg 2001; 17 (2) 123-128
  • 4 Dedo DD. “How I do it”—plastic surgery. Practical suggestions on facial plastic surgery. A preoperative classification of the neck for cervicofacial rhytidectomy. Laryngoscope 1980; 90 (11 Pt 1) 1894-1896
  • 5 Kamer FM, Lefkoff LA. Submental surgery. A graduated approach to the aging neck. Arch Otolaryngol Head Neck Surg 1991; 117 (1) 40-46
  • 6 Dayan SH, Bagal A, Tardy Jr ME. Targeted solutions in submentoplasty. Facial Plast Surg 2001; 17 (2) 141-149
  • 7 Jasin ME. Submentoplasty as an isolated rejuvenative procedure for the neck. Arch Facial Plast Surg 2003; 5 (2) 180-183
  • 8 Jacob CI, Berkes BJ, Kaminer MS. Liposuction and surgical recontouring of the neck: a retrospective analysis. Dermatol Surg 2000; 26 (7) 625-632
  • 9 Maliniak JW. Is the surgical restoration of the aged face justified? Indications, method of repair, end result. Med J Rec 1932; 135: 321-324
  • 10 Johnson JB. The problem of the aging face. Plast Reconstr Surg (1946) 1955; 15 (2) 117-121
  • 11 Zins JE, Fardo D. The “anterior-only” approach to neck rejuvenation: an alternative to face lift surgery. Plast Reconstr Surg 2005; 115 (6) 1761-1768
  • 12 Miller TA, Orringer JS. Excision of neck redundancy with single Z-plasty closure. Plast Reconstr Surg 1996; 97 (1) 219-221
  • 13 Morel-Fatio D. Cosmetic surgery of the face, 1: cosmetic surgery of the face (other than rhinoplasty). Mod Trends Plast Surg 1964; 16: 216-232
  • 14 Perkins SW, Gibson FB. Use of submentoplasty to enhance cervical recontouring in face-lift surgery. Arch Otolaryngol Head Neck Surg 1993; 119 (2) 179-183
  • 15 Miller TA. Excision of redundant neck tissue in men with platysma plication and Z-plasty closure. Plast Reconstr Surg 2005; 115 (1) 304-313
  • 16 Bitner JB, Friedman O, Farrior RT, Cook TA. Direct submentoplasty for neck rejuvenation. Arch Facial Plast Surg 2007; 9 (3) 194-200
  • 17 Hamilton JM. Submental lipectomy with skin excision. Plast Reconstr Surg 1993; 92 (3) 443-447 , discussion 448
  • 18 Feldman JJ. Corset platysmaplasty. Plast Reconstr Surg 1990; 85 (3) 333-343
  • 19 Giampapa V, Bitzos I, Ramirez O, Granick M. Suture suspension platysmaplasty for neck rejuvenation revisited: technical fine points for improving outcomes. Aesthetic Plast Surg 2005; 29 (5) 341-350 , discussion 351–352