Use of “Submental Muscular Medialization and Suspension” to improve the Cervicomental Angle

Abstract

Many techniques have been presented over recent decades to address the neck contour in facial cosmetic surgery. Despite advances, limitations remain when dealing with the obtuse cervicomental angle. The authors describe a technique for improving the obtuse cervicomental angle. Submental muscular medialization and suspension is a simple yet highly effective surgical technique that can result in dramatic and enduring improvement in the cervicomental angle.

Keywords

platysmaplasty - rhytidectomy - aging neck - aging face - cervicomental angle

• References

• 1 Langsdon PR, Velargo PA, Rodwell III DW, Denys D. Submental muscular medialization and suspension. Aesthet Surg J 2013; 33 (7) 953-966
• 2 Langsdon P, Shires C, Gerth D. Lower face-lift with extensive neck recontouring. Facial Plast Surg 2012; 28 (1) 89-101
• 3 Liquidato BM, Barros MD, Alves AL , et al. Anatomical study of the digastric muscle: Variations in the anterior belly. Int J Morphol 2007; 25 (4) 797-800
• 4 Sargon MF, Onderoğlu S, Sürücü HS, Bayramoğlu A, Demiryürek DD, Oztürk H. Anatomic study of complex anomalies of the digastric muscle and review of the literature. Okajimas Folia Anat Jpn 1999; 75 (6) 305-313
• 5 Marchac D. Julien Bourguet. The pioneer in aesthetic surgery of the neck. Clin Plast Surg 1983; 10 (3) 363-365
• 6 Millard Jr DR, Garst WP, Beck RL, Thompson ID. Submental and submandibular lipectomy in conjunction with a face lift, in the male or female. Plast Reconstr Surg 1972; 49 (4) 385-391
• 7 Connell BF. Contouring the neck in rhytidectomy by lipectomy and a muscle sling. Plast Reconstr Surg 1978; 61 (3) 376-383
• 8 Owsley Jr JQ. SMAS-platysma face lift. Plast Reconstr Surg 1983; 71 (4) 573-576
• 9 Peterson RA. The role of the platysma muscle in cervical lifting. Symposium of Surgery of the Aging Face. St Louis, MO: Mosby; 1978: 115-124
• 10 Baker T. Sectioning and plication of flaccid cervical bands. Paper presented at: First Congress of the Ibero-Latin-American Federation of Plastic and Reconstructive Surgery; August 1976 ; Quito, Ecuador
• 11 Guerrero-Santos J. The role of the platysma muscle in rhytidoplasty. Clin Plast Surg 1978; 5 (1) 29-49
• 12 Webster RC, Smith RC, Smith KF. Face lift, part 5: suspending sutures for platysma cording. Head Neck Surg 1984; 6 (4) 870-879
• 13 Giampapa VC, Di Bernardo BE. Neck recontouring with suture suspension and liposuction: an alternative for the early rhytidectomy candidate. Aesthetic Plast Surg 1995; 19 (3) 217-223
• 14 Ramirez OM. Cervicoplasty: nonexcisional anterior approach. A 10-year follow-up. Plast Reconstr Surg 2003; 111 (3) 1342-1345 , discussion 1346–1347
• 15 Labbé D, Franco RG, Nicolas J. Platysma suspension and platysmaplasty during neck lift: anatomical study and analysis of 30 cases. Plast Reconstr Surg 2006; 117 (6) 2001-2007 , discussion 2008–2010
• 16 Mueller GP, Leaf N, Aston SJ, Stone CW. The percutaneous trampoline platysmaplasty: technique and experience with 105 consecutive patients. Aesthet Surg J 2012; 32 (1) 11-24