Effective Recontouring of the Neck Using Complete Platysmal Transection.

Abstract

Background: Increasing the effectiveness and longevity of a rhytidectomy is a constant pursuit. The cervicomental angle and jaw line contouring is perhaps the most contentious area in regards to searching for improvements of outcomes. Full release of the platysma and SMAS unit near its inferior border is perhaps the most powerful technique to resuspend and bolster the newly surgically restored acute cervicomental angle.

Objectives: The goal of this study is to demonstrate the effectiveness and longevity of this technique.

Methods: A retrospective chart review was performed on all face/lower face/neck lift patients. The operative reports were reviewed to ensure that full release of the platysma-SMAS unit was performed for resuspension. Retrospective photographical analysis was performed to evaluate the objective results of increased cosmesis of the rejuvenated neck and jaw line.

Results: Impressive cosmetic results were demonstrated in patients who had full release and re-suspension of a plicated platysmas and SMAS unit. These results were objectively appreciated. The increased cosmetic appearance was demonstrated to have sufficient longevity and a profound effect on augmenting the acuteness of the cervicomental angle and cosmetic appearance of the mandibular border.

Conclusions: Release and resuspension of the platysma SMAS unit is an incredible powerful and long lasting modality for improving the cervicomental angle and delineation of the mandibular border in facelift patients.