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Corset platysmaplasty.

J J Feldman1

  • 1Division of Plastic Surgery, Mount Auburn Hospital, Cambridge, Mass.

Plastic and Reconstructive Surgery
|March 1, 1990
PubMed
Summary
This summary is machine-generated.

Corset platysmaplasty offers a novel surgical approach to neck rejuvenation, effectively addressing common issues like muscle bands and contour irregularities. This technique creates a smooth, refined neck profile by avoiding free muscle edges and correcting submandibular gland bulging.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Facial Anatomy

Background:

  • Aging neck rejuvenation often involves platysma modification.
  • Current platysmaplasty techniques (plication, resection, transection) can lead to persistent muscle bands, gland bulging, and contour irregularities.

Purpose of the Study:

  • To introduce and evaluate the efficacy of the corset platysmaplasty technique.
  • To address the shortcomings of traditional platysmaplasty methods in neck rejuvenation.

Main Methods:

  • Corset platysmaplasty involves subcutaneous and subplatysmal lipectomy.
  • Medial platysma edges are joined with a continuous suture to form a multilayered seam, eliminating free muscle edges.
  • Progressive midline tightening creates a "waistline," and submandibular suturing refines contours and corrects gland bulging.

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Main Results:

  • The technique aims to prevent visible paramedian muscle bands and contour irregularities.
  • It is effective in correcting submandibular gland bulging and refining jawline contours.
  • The study is based on outcomes from 75 patients, with 1-3 years of follow-up.

Conclusions:

  • Corset platysmaplasty provides a reliable method for neck rejuvenation, improving aesthetic outcomes.
  • It is particularly beneficial for patients with visible muscle bands, submandibular gland bulging, or specific neck anatomies.
  • This technique offers a durable solution for achieving a smooth, youthful neck appearance.