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Postoperative Platysmal Band Deformity: A Pitfall of Submental Liposuction

Postoperative Platysmal Band Deformity: A Pitfall of Submental Liposuction Abstract • Submental liposuction is an established advance in treatment of the aging neck. However, its misapplication may result in an aesthetic deformity involving postoperative anterior platysmal banding. To identify preoperative conditions relating to this sequela, we retrospectively analyzed 301 patients treated with submental liposuction. Submental obesity and an anatomic pattern of platysmal nondecussation were found to be significant correlates in the development of postoperative anterior platysmal banding. (Arch Otolaryngol Head Neck Surg. 1993;119:193-196) References 1. Vistnes LM, Souther SG. The anatomical basis for common cosmetic anterior neck deformities . Ann Plast Surg . 1979;2:381-388.Crossref 2. Souther SG, Vistnes LM. Medial approximation of the platysma muscle in the treatment of neck deformities . Plast Reconstr Surg . 1981;67:607-613.Crossref 3. Kamer FM, Lefkoff LA. Submental surgery: a graduated approach to the aging neck . Arch Otolaryngol Head Neck Surg . 1991;117:40-46.Crossref 4. Ellenbogen R, Karlin JV. Visual criteria for success in restoring the youthful neck . Plast Reconstr Surg . 1980;66:826-837.Crossref 5. Wilkinson TS. The repair of a submental depression occurring after rhytidectomy . Plast Reconstr Surg . 1976;57:33-35.Crossref 6. Kamer FM, Binder WJ. Avoiding depressions in submental lipectomy . Laryngoscope . 1980;90:1396-1400.Crossref 7. Ellenbogen R, Karlin JV. Regrowth of platysma following platysma cervical lift: etiology and methodology of prevention . Plast Reconstr Surg . 1981;67:616-623.Crossref 8. Feldman JJ. Corset platysmaplasty . Plast Reconstr Surg . 1990;85:333-343.Crossref 9. Skoog T. The aging face . In: Skoog T, ed. Plastic Surgery: New Methods and Refinements . Philadelphia, Pa: WB Saunders Co; 1974:300-330. 10. Kamer FM, Hunter D. The two layer, four flap rhytidectomy technique . Laryngoscope . 1981;91:829-832.Crossref 11. Marchac D. Julien Bourguet: the pioneer in aestheic surgery of the neck . Clin Plast Surg . 1983;10:363-365. 12. Maliniak JW. Is the surgical restoration of the aged face justified? Med J Rec . 1932;135:321-324. 13. Padgett EC, Stephenson KL. Reconstructive surgery of the neck . In: Padgett EC, Stephenson KL, eds. Plastic and Reconstructive Surgery . Springfield, Ill: Charles C Thomas Publisher; 1946:638. 14. Davis AD. Obligations in the consideration of meloplasties . J Int Coll Surg . 1955;24:567-571. 15. Marino H, Galeano EJ, Gandolfo EA. Plastic correction of double chin . Plast Reconstr Surg . 1963;31:45-50.Crossref 16. Adamson JE, Horton CE, Crawford HH. The surgical correction of the 'turkey gobbler' deformity . Plast Reconstr Surg . 1964;34:598-605.Crossref 17. Picaud AJ. Les differentes formes d'incisions et les techniques de face-lifting, selon l'age, le formes de visages et l'etat des teguments . In: Sanvenero-Rosselli G, ed. Transactions of the Fourth International Congress of Plastic and Reconstructive Surgery . Amsterdam, the Netherlands: Excerpta Medica Foundation; 1969:1108-1115. 18. Cannon B, Pantazelos HH. W-Plasty approach to submandibular lipectomy . In: Hueston JT, ed. Transactions of the Fifth International Congress of Plastic and Reconstructive Surgery . Woburn, Mass: Butterworths; 1970: 1113-1117. 19. Morel-Fatio D. Cosmetic surgery . In: Gibson T, ed. Modern Trends in Plastic Surgery . Woburn, Mass: Butterworths; 1964:216-222. 20. Millard DR, Pigott RW, Hedo A. Submandibular lipectomy . Plast Reconstr Surg . 1968;41:513-522.Crossref 21. Millard 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;49:385-391.Crossref 22. Weisman PA. Simplified technique in submental lipectomy . Plast Reconstr Surg . 1971;48:443-446.Crossref 23. Guerrero-Santos J, Espaillat L, Morales F. Muscular lift in cervical rhytidoplasty . Plast Reconstr Surg . 1974;54:127-131.Crossref 24. Connell BF. Cervical lifts: the value of platysma muscle flaps . Ann Plast Surg . 1978;1:34-43.Crossref 25. Illouz YG. Body contouring by lipolysis: a 5-year experience with over 3000 cases . Plast Reconstr Surg . 1983;72:591-597.Crossref 26. Teimourian B. Face and neck suction-assisted lipectomy associated with rhytidectomy . Plast Reconstr Surg . 1983;72:627-633.Crossref 27. Avelar J. Fat-suction of the submental and submandibular regions . Aesthetic Plast Surg . 1985;9:257-263.Crossref 28. Courtiss EH. Suction lipectomy of the neck . Plast Reconstr Surg . 1985;76:882-889.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Postoperative Platysmal Band Deformity: A Pitfall of Submental Liposuction

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Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1993.01880140079013
Publisher site
See Article on Publisher Site

Abstract

Abstract • Submental liposuction is an established advance in treatment of the aging neck. However, its misapplication may result in an aesthetic deformity involving postoperative anterior platysmal banding. To identify preoperative conditions relating to this sequela, we retrospectively analyzed 301 patients treated with submental liposuction. Submental obesity and an anatomic pattern of platysmal nondecussation were found to be significant correlates in the development of postoperative anterior platysmal banding. (Arch Otolaryngol Head Neck Surg. 1993;119:193-196) References 1. Vistnes LM, Souther SG. The anatomical basis for common cosmetic anterior neck deformities . Ann Plast Surg . 1979;2:381-388.Crossref 2. Souther SG, Vistnes LM. Medial approximation of the platysma muscle in the treatment of neck deformities . Plast Reconstr Surg . 1981;67:607-613.Crossref 3. Kamer FM, Lefkoff LA. Submental surgery: a graduated approach to the aging neck . Arch Otolaryngol Head Neck Surg . 1991;117:40-46.Crossref 4. Ellenbogen R, Karlin JV. Visual criteria for success in restoring the youthful neck . Plast Reconstr Surg . 1980;66:826-837.Crossref 5. Wilkinson TS. The repair of a submental depression occurring after rhytidectomy . Plast Reconstr Surg . 1976;57:33-35.Crossref 6. Kamer FM, Binder WJ. Avoiding depressions in submental lipectomy . Laryngoscope . 1980;90:1396-1400.Crossref 7. Ellenbogen R, Karlin JV. Regrowth of platysma following platysma cervical lift: etiology and methodology of prevention . Plast Reconstr Surg . 1981;67:616-623.Crossref 8. Feldman JJ. Corset platysmaplasty . Plast Reconstr Surg . 1990;85:333-343.Crossref 9. Skoog T. The aging face . In: Skoog T, ed. Plastic Surgery: New Methods and Refinements . Philadelphia, Pa: WB Saunders Co; 1974:300-330. 10. Kamer FM, Hunter D. The two layer, four flap rhytidectomy technique . Laryngoscope . 1981;91:829-832.Crossref 11. Marchac D. Julien Bourguet: the pioneer in aestheic surgery of the neck . Clin Plast Surg . 1983;10:363-365. 12. Maliniak JW. Is the surgical restoration of the aged face justified? Med J Rec . 1932;135:321-324. 13. Padgett EC, Stephenson KL. Reconstructive surgery of the neck . In: Padgett EC, Stephenson KL, eds. Plastic and Reconstructive Surgery . Springfield, Ill: Charles C Thomas Publisher; 1946:638. 14. Davis AD. Obligations in the consideration of meloplasties . J Int Coll Surg . 1955;24:567-571. 15. Marino H, Galeano EJ, Gandolfo EA. Plastic correction of double chin . Plast Reconstr Surg . 1963;31:45-50.Crossref 16. Adamson JE, Horton CE, Crawford HH. The surgical correction of the 'turkey gobbler' deformity . Plast Reconstr Surg . 1964;34:598-605.Crossref 17. Picaud AJ. Les differentes formes d'incisions et les techniques de face-lifting, selon l'age, le formes de visages et l'etat des teguments . In: Sanvenero-Rosselli G, ed. Transactions of the Fourth International Congress of Plastic and Reconstructive Surgery . Amsterdam, the Netherlands: Excerpta Medica Foundation; 1969:1108-1115. 18. Cannon B, Pantazelos HH. W-Plasty approach to submandibular lipectomy . In: Hueston JT, ed. Transactions of the Fifth International Congress of Plastic and Reconstructive Surgery . Woburn, Mass: Butterworths; 1970: 1113-1117. 19. Morel-Fatio D. Cosmetic surgery . In: Gibson T, ed. Modern Trends in Plastic Surgery . Woburn, Mass: Butterworths; 1964:216-222. 20. Millard DR, Pigott RW, Hedo A. Submandibular lipectomy . Plast Reconstr Surg . 1968;41:513-522.Crossref 21. Millard 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;49:385-391.Crossref 22. Weisman PA. Simplified technique in submental lipectomy . Plast Reconstr Surg . 1971;48:443-446.Crossref 23. Guerrero-Santos J, Espaillat L, Morales F. Muscular lift in cervical rhytidoplasty . Plast Reconstr Surg . 1974;54:127-131.Crossref 24. Connell BF. Cervical lifts: the value of platysma muscle flaps . Ann Plast Surg . 1978;1:34-43.Crossref 25. Illouz YG. Body contouring by lipolysis: a 5-year experience with over 3000 cases . Plast Reconstr Surg . 1983;72:591-597.Crossref 26. Teimourian B. Face and neck suction-assisted lipectomy associated with rhytidectomy . Plast Reconstr Surg . 1983;72:627-633.Crossref 27. Avelar J. Fat-suction of the submental and submandibular regions . Aesthetic Plast Surg . 1985;9:257-263.Crossref 28. Courtiss EH. Suction lipectomy of the neck . Plast Reconstr Surg . 1985;76:882-889.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Feb 1, 1993

References