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Contralateral platysma suspension: an adjunct to rhytidectomy
Journal article

Contralateral platysma suspension: an adjunct to rhytidectomy

Julian L Henley, David J Lesnik and Alyssa R Terk
Archives of facial plastic surgery, v 7(2), pp 119-123
Mar 2005
PMID: 15781724

Abstract

Humans Neck Muscles - anatomy & histology Neck Muscles - surgery Rhytidoplasty - methods
As we age, a number of factors distort the contour of the cervicomental angle. Submental adipose deposits, anterior laxity of the platysma muscle, and relaxation of cervical skin contribute to this undesirable result. Comprehensive rhytidectomy will frequently involve enhancement of the cervicomental angle as an adjunctive procedure. Facial aesthetic surgeons have devised numerous techniques to deal with the aging neck. Commonly, the approach combines submental adipose tissue excision with posterosuperior-based support, either by preauricular or postauricular incision. Herein, we describe a technique incorporating standard submental suction lipectomy with a novel method of contralateral midline platysma suspension that creates a dynamic support system involving both rigid suture-based and flexible muscle-based components. This technique delivers quality aesthetic results and superior postoperative patient satisfaction.

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Surgery
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