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Anterior Approach to the Neck: Long-Term Follow-Up.
Andrew L Kochuba1, Christopher C Surek1, Carlos Ordenana1
1Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Aesthetic Surgery Journal
|May 22, 2020
Summary
The anterior necklift effectively rejuvenates the neck, significantly improving the cervicomental angle and reducing apparent age. This procedure shows particular efficacy in cases with moderate to severe neck laxity.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation Surgery
- Aesthetic Surgery
Background:
- The anterior necklift is a well-established procedure for neck rejuvenation.
- It leverages skin elasticity and addresses deeper neck structures for enhanced results.
- This technique offers benefits beyond traditional liposuction.
Purpose of the Study:
- To evaluate the long-term success of the anterior necklift for neck rejuvenation.
- To determine the efficacy of the anterior necklift in patients with severe cervicomental angles.
Main Methods:
- Retrospective review of 27 patients undergoing isolated anterior necklifts (1998-2017).
- Independent evaluation of pre- and post-procedure photographs using the Knize scale for cervicomental angle.
- Assessment of apparent age reduction using a validated scale.
Main Results:
- Average follow-up of 24.7 months.
- Overall average age reduction of 3.6 years and 1.0-grade improvement in cervicomental angle.
- Patients with moderate to severe necks experienced an average age reduction of 3.9 years and 1.4-grade improvement.
Conclusions:
- The anterior necklift is effective for improving the cervicomental angle and reducing apparent age.
- The procedure is particularly beneficial for patients with moderate to severe neck aging.
- It provides a viable alternative for patients seeking neck improvement without a full facelift.

