Hyoid Suspension Neck Lift.

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Facial Anatomy

Background:

• Aging alters the deep cervical structures, impacting neck aesthetics.
• Achieving a youthful neck contour requires addressing excess skin, fat, and platysma muscle.
• The platysma muscle's position is crucial for natural skin redraping over underlying structures.

Purpose of the Study:

• To present a surgical technique that integrates the platysma into the deep cervical structures for improved neck aesthetics.
• To enable natural skin redraping over a defined underlying framework for a youthful appearance.

Main Methods:

• A procedure involving excess fat removal and platysma suspension to the hyoid fascia.
• Approximation of platysma edges and wide skin undermining for natural redraping.
• The technique focuses on making the platysma conform to deep cervical structures.

Main Results:

• Over 7 years, 110 patients underwent this platysma suspension technique.
• Low complication rates, including no permanent nerve injury or vascular compromise.
• One case of recurrent platysmal bands due to suture failure; three cases each of hematoma and submental seromas.

Conclusions:

• The described method provides reliable, long-lasting aesthetic neck rejuvenation.
• It is a simple, reproducible, and teachable technique for surgeons.
• Enables achievement of superior neck contour results previously difficult to obtain.