Neck Contouring and Rejuvenation in Male Patients Through Dual-Plane Reduction Neck Lift

Specialists seeking successful outcomes in male facial rejuvenation must be able to achieve adequate results in the neck and submental region to provide their patients with balanced and natural results. A thorough understanding of male jawline and neck surface aesthetics is described and its relevance to perceived age, attractiveness, and body mass index is presented. The neck lift technique described is based on the pursuit of 2 distinct objectives managed independently: (1) Volume contouring or reduction, which is mainly accomplished in the deep structures of the neck beneath the platysma and (2) superficial redraping, which consists of the management of the platysma itself and of the overlying subcutaneous fat and skin under minimal tension. A dual-plane approach to the neck is used, meaning 2 different dissection planes are carried out. In the area cranial to the submandibular-cervical junction line (ie, submandibular segment), a plane is developed both superficial and deep to the platysma, while in the area caudal to this line (ie, cervical segment), dissection is carried out only deep to the platysma, leaving the muscle attached to its overlying skin. A description of the technique is presented as well as its complications and indications for surgical neck enhancement.