A 26-year experience with vest-over-pants technique platysmarrhaphy
Bahman Guyuron1, Eman Yahya Sadek, Rouzbeh Ahmadian
1Cleveland, Ohio From the Department of Plastic Surgery, University Hospitals Case Medical Center and Case Western Reserve University.
Plastic and Reconstructive Surgery
|May 14, 2010
Summary
The vest-over-pants technique effectively eliminates platysma bands and improves neck contour. This surgical method provides enduring results for neck rejuvenation, enhancing the cervicomental angle.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Surgical Techniques
Background:
- Platysma bands and diminished cervicomental angle are common signs of neck aging.
- Surgical interventions aim to address these aging indicators for improved aesthetic outcomes.
Purpose of the Study:
- To review the efficacy of the vest-over-pants technique for platysma band elimination.
- To assess the improvement in the cervicomental angle following this surgical approach.
Main Methods:
- Retrospective chart review of 88 patients undergoing neck rejuvenation procedures.
- Comparison of pre- and post-operative photographs to evaluate platysma band visibility and neck contour.
- Application of the vest-over-pants technique using 4-0 Mersilene sutures for platysma border overlap.
Main Results:
- The study included 88 patients (86.4% female, mean age 57.56 years) with an average follow-up of 28.8 months.
- High rates of concomitant procedures including rhytidectomy and submental lipectomy were observed.
- No residual recurrence of platysma bands was noted during the follow-up period.
Conclusions:
- The vest-over-pants technique offers a logical and enduring solution for prominent platysma bands.
- This method effectively suspends neck structures, contributing to improved neck contour and cervicomental angle.
- The technique demonstrates long-term efficacy in neck rejuvenation.
