Yes to a tight neck, no to a rhytidectomy

Yes to a tight neck, no to a rhytidectomy Many patients emphatically refuse a face lift to improve the shape of the cervico-mandibular angle, but are nevertheless not prepared to put up with ugly skin folds and the platysma bands. As an alternative we can offer a platysmaplasty in combination with a submental skin excision, often used with liposuction in the chin and cheek area. From December 1995 to April 1999, 20 patients between the ages of 33 and 82 (mean age 57), 12 female and eight male were operated on using a submental incision. A cervical skin flap with a thin layer of fat was raised. It was taken down to the larynx and its length was 4–5 cm. Most of the fat was taken off the platysma muscle up to the external jugular vein, where this crosses the sternocleidomastoid muscle. The platysma edges were raised and joined in the midline, using a running suture. Any excess skin was excised in a spindle-shaped fashion. In 14 cases additional liposuction above the mandible was necessary. In three cases no platysma tightening was indicated, and on 3 occasions a midline skin excess was excised incorporating a Z-plasty. In summary, the operations are performed under local anesthesia and therefore do not cause the patient too much stress. If necessary, subplatysmal fat can also be removed in the same operation. The median platysma muscle edges are approximated in the midline starting at the mandibular symphysis, and this is continued at least down to the middle of the neck above the larynx. In female patients the approximation is done above that level to avoid the prominence of the larynx. A small horizontal incision below the suture line will eliminate the bowstring effect. A platysma duplication above the submandibular gland can make it less obvious. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Yes to a tight neck, no to a rhytidectomy

Loading next page...
 
/lp/springer_journal/yes-to-a-tight-neck-no-to-a-rhytidectomy-782trdG1yu
Publisher
Springer Journals
Copyright
Copyright © 2002 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-002-0350-3
Publisher site
See Article on Publisher Site

Abstract

Many patients emphatically refuse a face lift to improve the shape of the cervico-mandibular angle, but are nevertheless not prepared to put up with ugly skin folds and the platysma bands. As an alternative we can offer a platysmaplasty in combination with a submental skin excision, often used with liposuction in the chin and cheek area. From December 1995 to April 1999, 20 patients between the ages of 33 and 82 (mean age 57), 12 female and eight male were operated on using a submental incision. A cervical skin flap with a thin layer of fat was raised. It was taken down to the larynx and its length was 4–5 cm. Most of the fat was taken off the platysma muscle up to the external jugular vein, where this crosses the sternocleidomastoid muscle. The platysma edges were raised and joined in the midline, using a running suture. Any excess skin was excised in a spindle-shaped fashion. In 14 cases additional liposuction above the mandible was necessary. In three cases no platysma tightening was indicated, and on 3 occasions a midline skin excess was excised incorporating a Z-plasty. In summary, the operations are performed under local anesthesia and therefore do not cause the patient too much stress. If necessary, subplatysmal fat can also be removed in the same operation. The median platysma muscle edges are approximated in the midline starting at the mandibular symphysis, and this is continued at least down to the middle of the neck above the larynx. In female patients the approximation is done above that level to avoid the prominence of the larynx. A small horizontal incision below the suture line will eliminate the bowstring effect. A platysma duplication above the submandibular gland can make it less obvious.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Mar 20, 2002

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off