Advanced considerations determining procedure selection in cervicoplasty. Part one: anatomy and aesthetics.

This article presents a detailed anatomic description of the neck as it applies to most cervicoplasty surgical techniques and describes the surgical aesthetics of the beautiful and young neck compared with the aging neck. The anatomy and aesthetics of the aging neck are also outlined, and the anatomic reasons and foundations for each technical maneuver are described. Technical tips to avoid trouble are mentioned throughout the anatomic and relevant technical description. Surgeons embarking on simple or complex techniques should be totally familiar with the anatomy of the neck, because even simple liposuction can produce a disabling complication, such as injury to the marginal mandibular nerve. Deep approach to the neck to correct difficult aesthetic problems requires in-depth (figuratively and practically speaking) knowledge of the deep compartments of the neck and a level of expertise that only the anatomy laboratory and frequent surgical workshops can provide.