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Updated: May 24, 2026
19:53
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
The web lift and posterior pull for the aging face
Waleed H Ezzat1, Chiara Andretto Amodeo, Gregory S Keller
1Department of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine, Boston, Massachusetts, USA.
Facial Plastic Surgery : FPS
|March 16, 2012
Summary
This study shows a new neck rejuvenation technique combining a submental suture and platysma pull significantly improves neck appearance and patient satisfaction. The procedure effectively reduces the cervicomentall angle and increases hyomental distance.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Facial Anatomy
Background:
- Aging neck concerns include skin laxity and submental fat.
- Current surgical options for neck rejuvenation vary in invasiveness and outcomes.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel neck rejuvenation technique.
- To assess changes in cervicomentall angle and hyomental distance post-procedure.
Main Methods:
- Retrospective study of 25 subjects undergoing percutaneous submental suture and posterior platysma pull.
- Cephalometric analysis of cervicomentall angle and hyomental distance pre- and post-operatively.
- Patient satisfaction surveys conducted at 33 weeks.
Main Results:
- Significant reduction in cervicomentall angle (134.8° to 122.8°, p=0.002).
- Significant increase in hyomental distance (8.5 cm to 10.4 cm, p=0.009).
- High patient satisfaction rate of 92.3% at 33 weeks.
Conclusions:
- The combined percutaneous submental suture and posterior platysma pull is a safe and effective method for neck rejuvenation.
- The technique offers reproducible results with minimal patient morbidity.
- This approach addresses multiple aspects of the aging neck effectively.
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