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Updated: Jul 7, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Skin and platysma muscle anchoring
1Clinique Château Berger, Clinique Château Berger 281, Corniche Kennedy, Marseille 13007, France. alain.fogli@wanadoo.fr
This study presents a novel surgical technique for correcting platysma bands by anchoring the platysma muscle without detaching it from the skin. This approach enhances cervicomental angle definition and addresses aging-related changes effectively.
Area of Science:
- Plastic Surgery
- Anatomy
- Aging Research
Background:
- Platysma bands are a common aging concern, affecting the neck's appearance.
- Existing techniques often involve detaching the platysma muscle from the skin, potentially damaging the muscle-skin connection.
- Understanding the anatomical structure of the platysma muscle is crucial for effective surgical correction.
Purpose of the Study:
- To introduce and describe a new surgical technique for correcting platysma bands.
- To emphasize the importance of preserving the skin-platysma muscle connection.
- To improve the definition of the cervicomental angle through anatomical anchoring.
Main Methods:
- Anatomical study focusing on the platysma muscle's facial and cervical parts.
- Utilizing Lore's fascia as a guide for facial nerve trunk approach.
- A novel technique involving en bloc elevation of skin and platysma muscle, anchored to stable anatomical structures.
- Avoiding detachment of the platysma muscle from the skin.
Main Results:
- The proposed technique allows for solid anchoring of the platysma muscle without detachment from the skin.
- Preserving the skin-platysma muscle connection, especially at the cervical level, is key.
- The method effectively corrects platysma bands and improves cervicomental angle definition.
Conclusions:
- The novel technique offers an efficient method for correcting platysma bands.
- Maintaining the integrity of the skin-platysma muscle unit is crucial for optimal aesthetic outcomes.
- This approach provides a more effective solution for age-related neck deformities.
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