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Related Experiment Video

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Modified Medial and Lateral Platysmaplasty.

Jeongho Choi1, Kun Hwang2

  • 1Department of Plastic Surgery, Design Hospital, Jeonju.

The Journal of Craniofacial Surgery
|May 31, 2020
PubMed
Summary

Modified medial and lateral platysmaplasty techniques offer effective neck rejuvenation. Medial platysmaplasty demonstrated superior efficacy for midline bands and submental fullness compared to lateral approaches.

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Area of Science:

  • Plastic Surgery
  • Anatomy
  • Facial Rejuvenation

Background:

  • Previous anatomic studies demonstrated platysma's pullability in medial, lateral, or combined directions.
  • Platysmaplasty techniques have evolved, incorporating modifications from established procedures.

Purpose of the Study:

  • To analyze the outcomes of modified medial and lateral platysmaplasties.
  • To evaluate the efficacy and complication rates of these refined techniques.

Main Methods:

  • A series of modified medial and lateral platysmaplasties were performed, building upon Hamra's, Feldman's, and Mendelson's concepts.
  • Medial platysmaplasty involved extensive subcutaneous dissection; lateral platysmaplasty utilized peri-lobular dissection with zygomatic retaining ligament repositioning.
  • 168 patients underwent procedures (87 medial, 76 lateral, 3 neck lift) with follow-up ranging from 1 to 156 months.

Main Results:

  • Medial platysmaplasty was generally more effective than lateral pulling for neck deformities, particularly midline bands and severe submental fullness with laxity.
  • Complications included neuropraxia (0.6%), hematoma (1.8%), seroma (1.2%), and submental depression (1.2%).
  • All patients experienced temporary periauricular paresthesia, resolving within 6 months.

Conclusions:

  • Modified medial and lateral platysmaplasty techniques yield satisfactory aesthetic results.
  • These refined surgical approaches are associated with a low rate of complications for neck contouring.