Neck Reconstruction

Multiple reconstructive options exist to redefine the aging neck. Goals of these surgeries include defining the mandibular line, enhancing the prominence of the chin, creating a sharper cervicomental angle (of 105-120 degrees), excising excess submental fat, improving platysmal bands, and defining sternocleidomastoid muscles. The goal of these operations is to create the appearance of a thin, long neck. Suspension sutures can also be used to define the mandibular border. Direct skin excision is an option in men with thick lax submental skin who cannot undergo other procedures. Adjuvant procedures can also be performed for enhanced mental prominence such as chin implant or fillers. The primary surgical options are closed liposuction and platysmaplasty. Closed liposuction offers sharper mandibular and SCM borders and should be performed if the skin is distended less than 15%; while over 20% should consider neck lift [. A central or submental incision for insertion of tumescence and the liposuction cannula is appropriate. Isolated collections of submental fat may be resected locally instead of through liposuction. As with any cosmetic surgery, common complications include under-correction, hematomas, and seromas. Platysmaplasty offers contouring of the horizontal neck and formation of a deep cervicomental angle while improving platysmal bands and removing pre- or subplatysmal fat. The procedure is often combined with a cervicofacial rhytidectomy and/or liposuction. A submental incision with dissecting and raising of the muscle, skin, or fat superiorly, creates the appearance of a smoother neck with sharper angles. A postauricular incision can also be used to raise excess skin. Complications include excessive tightening or fat removal, recurrence of bands, and palpable sutures. Discovering the 21st Century Fountain of Youth: A Discussion of the Effectiveness of Popular Anti-Aging Therapies: Christopher J Salgado, Charlotte E LaSenna, Rebecca Cissel, Xiaoyi Li, Catherine E Gordon, Andrea R Marcadis and Wrood Kassira

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Last date updated on April, 2024