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Submental muscular medialization and suspension
Phillip R Langsdon1, Parker A Velargo, David W Rodwell
1Dr Langsdon is a Professor at the University of Tennessee Health Science Center and Chief of the Division of Facial Plastic Surgery in the Department of Otolaryngology-Head & Neck Surgery, University of Tennessee Health Science Center, Germantown, Tennessee, where Dr Velargo and Dr Rodwell are residents.
Submental muscular medialization and suspension (SMMS) effectively improves the neck contour and obtuse cervicomental angle in facial rejuvenation surgery. This technique offers dramatic, lasting results with minimal complications.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Surgery
- Aesthetic Surgery
Background:
- Numerous techniques exist for neck contouring in facial rejuvenation.
- Limitations persist, particularly in correcting obtuse cervicomental angles.
Purpose of the Study:
- To describe and evaluate the submental muscular medialization and suspension (SMMS) technique for improving the cervicomental angle.
Main Methods:
- Retrospective review of 295 patients undergoing SMMS between 2001 and 2003.
- SMMS involves medializing and suspending platysma muscle edges and digastric muscle bellies to the mylohyoid muscle.
Main Results:
- SMMS was performed on 97 patients (87 with facelift, 10 isolated).
- Reoperation for submental suspension dehiscence occurred in 1.05% of facelift patients; none in isolated SMMS.
- Minor submental skin redundancy was managed with excision in 2.4% of patients.
Conclusions:
- Submental muscular medialization and suspension (SMMS) is a simple, highly effective technique.
- SMMS provides dramatic and enduring improvements in the cervicomental angle.
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