Background: The anterior or submental necklift has been well described. Long-term results have been demonstrated in patients with minimal, mild, and moderate skin excess. It relies on the skin's unique ability to contract once separated from its attachments and further enhances the surgical result with treatment of the intermediate layer- subplatysmal fat, anterior digastric, submandibular gland, and platysma. Treatment of this layer differentiates this operation from liposuction and offers benefits beyond liposuction alone.
Objectives: The authors sought to assess the long-term success of the anterior necklift for neck rejuvenation and determine its utility in patients with severe cervicomental angles.
Methods: This was a single-surgeon, retrospective review of patients who underwent an isolated anterior necklift with no additional procedures between 1998 and 2017. Pre- and postprocedure photographs were scrambled and examined by independent evaluators grading the change in cervicomental angle based on the Knize scale. The reduction in apparent age was calculated utilizing the validated apparent age assessment scale.
Results: Twenty-seven patients were evaluated (42% mild and 58% moderate to severe necks preoperatively). The average follow-up was 24.7 months. There was an average 3.6-year age reduction and 1.0-grade improvement in all patients. In moderate to severe necks, there was a 3.9-year age reduction and 1.4-grade improvement in the cervicomental angle following surgery.
Conclusions: This study demonstrates the effectiveness of the operation in improving the cervicomental angle and reducing the overall apparent age of patients, even more so in severe cases. The operation is an option for patients who desire neck improvement but are unwilling to undergo a facelift.
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http://dx.doi.org/10.1093/asj/sjaa099 | DOI Listing |
World J Plast Surg
January 2024
Department of Oral and Maxillofacial Surgery, Faculdade Patos de Minas, Brasília, Brazil.
In the dynamic landscape of digital healthcare and facial aesthetics, there is a rising demand for tools combining precision and accessibility. This article explores an innovative approach emphasizing accuracy and accessibility in facial aesthetic procedures through individualized planning and open-source software utilization. Digital facial analysis was conducted using facial photogrammetry capturing 16 simultaneous images in 0.
View Article and Find Full Text PDFFacial Plast Surg
October 2024
Department of Plastic and Aesthetic Surgery, Milan Face Institute, Milan, Italy.
Many surgical techniques have been proposed to address the submental-cervical angle in neck lift. Despite the several advances, obstacles persist when dealing with platysma bands and redefinition of the obtuse cervical angle. The aim of this study was to quantify platysma bands recurrence, any neurovascular damage, and other complications following neck lift procedures involving platysma muscle.
View Article and Find Full Text PDFArch Plast Surg
September 2024
Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea.
Botulinum toxin can be used for various purposes to enhance neck aesthetics, addressing concerns such as platysmal bands, optimizing the cervicomental angle, preventing worsening of horizontal neckline and decolletage lines during aging, submandibular gland hypertrophy, and hypertrophied superior trapezius muscle. Understanding the anatomy of muscles such as the trapezius, platysma, and submandibular gland is crucial for achieving desirable outcomes with botulinum toxin administration. Techniques for injecting botulinum toxin into these muscles are discussed, emphasizing safety and efficacy.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
September 2024
From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minn.
Background: With neck, aging the cervicomental angle becomes obtuse and may be influenced by hyoid bone aging. An understanding of hyoid position changes with aging will further our understanding of its role in neck contour changes.
Methods: A 3D volumetric reconstruction of 282 neck computed tomography scans was performed.
Facial Plast Surg Clin North Am
August 2024
Beverly Hills Center for Plastic Surgery, 465 North Roxbury Drive Suite 750, Beverly Hills, CA 90210, USA.
In this article, the authors describe their preferred advanced deep-plane techniques and modifications that have universally improved outcomes and durability in both men and women. Performing a proper extended deep-plane facelift and neck lift avoids the need to camouflage scars and stigmata of lifts seen in superficial musculoaponeurotic system plication and other techniques. In the author's experience, vertical vector deep-plane surgery is more durable, natural, and less reliant on lipofilling and volume addition.
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