Despite the propensity for humans to classify themselves into separate ethnoraces, the stigma of aging eventually appears in all. The mobile superficial musculo-aponeurotic system is a key area of change across all ethnicities and can be rejuvenated most effectively when the cutaneous retaining ligaments of the face and neck are fully released. The extended facelift techniques are logically the most effective in achieving this. Despite facelift surgery, the neck is often neglected but can be managed in a variety of ways. Changes within the deep neck structures are most effectively addressed under direct vision through a midline submental incision.
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