Facial plast Surg 2005; 21(1): 11-20
DOI: 10.1055/s-2005-871758
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA. Tel: +1(212) 584-4662.

Surgical Management of the Aging Neck

Peter A. Adamson1 , Jason A. Litner1
  • 1Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada
Further Information

Publication History

Publication Date:
29 June 2005 (online)


Blunting of the cervicomental angle with age is caused by progressive laxity of the skin and subcutaneous tissues, along with proliferation of fatty deposits and platysma muscle banding. This contributes to a loss of the slender neckline associated with youth, often a primary point of concern for patients. Surgeons may avail themselves of several surgical techniques in common use to restore definition to this region. A thorough evaluation of bone and soft tissue anatomy informs the appropriate surgical approach and allows successful rejuvenation of the aging neck. The lead author’s tactics for enhancement of the neck are outlined.