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Facial Plast Surg 2018; 34(05): 480-487
DOI: 10.1055/s-0038-1672128
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Correction of the Lower Face and Neck

Julia L. Frisenda
1   Otolaryngology—Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California
2   Nassif MD Plastic Surgery, Beverly Hills, California
,
Paul S. Nassif
1   Otolaryngology—Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California
2   Nassif MD Plastic Surgery, Beverly Hills, California
› Author Affiliations
Further Information

Publication History

Publication Date:
08 October 2018 (online)

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Abstract

Rejuvenation of the lower face and neck strives to reverse signs of aging while optimizing the patient's natural anatomy. Common features of an aesthetically pleasing lower face include a well-defined and appropriately balanced mandible and an acute cervicomental angle. Correction of the aging lower face and neck is accomplished through multiple surgical interventions, performed either alone or in combination. Determination of appropriate procedures is based on individual anatomic pathology. Intimate knowledge of facial anatomy and the complexity of the aging process is paramount to achieve a natural and aesthetic result. Thorough patient evaluation and counseling should precede any intervention. Specifically, the surgeon should be cognizant of the patient's skeletal structure, soft tissue distribution, muscular anatomy, and skin quality. Appropriate postoperative care and management of complications are vital to success.

Keywords

facial rejuvenation - rhytidectomy - platysmaplasty - submental liposuction - chin augmentation
 

  • References

  • 1 Durai PC, Thappa DM, Kumari R, Malathi M. Aging in elderly: Chronological versus photoaging. Indian J Dermatol 2012; 57 (05) 343-352
    CrossrefPubMedGoogle Scholar
  • 2 Greco TM, Antunes MB, Yellin SA. Injectable fillers for volume replacement in the aging face. Facial Plast Surg 2012; 28 (01) 8-20
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Rohrich RJ, Rios JL, Smith PD, Gutowski KA. Neck rejuvenation revisited. Plast Reconstr Surg 2006; 118 (05) 1251-1263
    CrossrefPubMedGoogle Scholar
  • 4 Glogau RG. Aesthetic and anatomic analysis of the aging skin. Semin Cutan Med Surg 1996; 15 (03) 134-138
    CrossrefPubMedGoogle Scholar
  • 5 Adamson PA, Litner JA. Surgical management of the aging neck. Facial Plast Surg 2005; 21 (01) 11-20
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 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
    CrossrefPubMedGoogle Scholar
  • 7 Hwang K, Kim JY, Lim JH. Anatomy of the platysma muscle. J Craniofac Surg 2017; 28 (02) 539-542
    CrossrefPubMedGoogle Scholar
  • 8 Newberry I, Cerrati EW, Thomas JR. Facial plastic surgery in the geriatric population. Otolaryngol Clin North Am 2018; 51 (04) 789-802
    CrossrefPubMedGoogle Scholar
  • 9 Kuhn H, Cunha PR, Matthews NH, Kroumpouzos G. Body dysmorphic disorder in the cosmetic practice. G Ital Dermatol Venereol 2018; 153 (04) 506-515
    PubMedGoogle Scholar
  • 10 Honigman R, Castle DJ. Aging and cosmetic enhancement. Clin Interv Aging 2006; 1 (02) 115-119
    CrossrefPubMedGoogle Scholar
  • 11 Riml S, Piontke A, Larcher L, Kompatscher P. Quantification of faults resulting from disregard of standardised facial photography. J Plast Reconstr Aesthet Surg 2011; 64 (07) 898-901
    CrossrefPubMedGoogle Scholar