Facial plast Surg 2017; 33(03): 271-278
DOI: 10.1055/s-0037-1598073
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Difficult Neck in Facelifting

Sudeep Roy
Buckingham Center for Facial Plastic Surgery, Austin, Texas
Edward Buckingham
Buckingham Center for Facial Plastic Surgery, Austin, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
01 June 2017 (online)


As the popularity and acceptance of facial and cervical rejuvenation procedures grows, surgeons are increasingly encountering patients with less favorable anatomical characteristics for rhytidectomy. These patients will typically display an obtuse cervicomental angle, underprojected chin, excess cervical adiposity, and platysmal banding, in addition to ptotic submandibular glands, tenacious jowls, and prejowl volume deficits. Recognition of these problems and the correct application of available techniques to address the difficult neck in facelifting are critical in maximizing success.