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Comparing Lateral Rhytidectomy With and Without Neck Suture Suspension.

Manoj T Abraham1, Jaclyn A Klimczak1, Minali Abraham-Aggarwal2

  • 1Icahn School of Medicine at Mount Sinai, New York, NY, USA.

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Summary
This summary is machine-generated.

Adding a modified Giampapa stitch with PDS suture to neck rejuvenation significantly improves the cervicomental angle (CMA) and hyomental distance. This minimally invasive technique offers better results for aging neck restoration compared to traditional methods alone.

Keywords:
cervicomental anglefacelifthyomental lengthneck liftrhytidectomy

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Area of Science:

  • Plastic Surgery
  • Aesthetic Medicine
  • Facial Anatomy

Background:

  • Aging neck aesthetics involve skin laxity, submental fat, platysmal bands, and ptosis, leading to an obtuse cervicomental angle (CMA).
  • Various cervical rejuvenation techniques exist, aiming to restore the CMA with variable outcomes.

Purpose of the Study:

  • To compare the restoration of the CMA by adding midline platysmal plication with a modified Giampapa stitch (using PDS suture) to standard deep plane lateral rhytidectomy versus rhytidectomy alone.

Main Methods:

  • A retrospective cohort study of 264 rhytidectomy patients.
  • Comparison of pre- and postoperative CMA degree and hyomental distance.
  • Groups: Traditional Deep Plane Lateral Rhytidectomy (TDPLR) alone vs. TDPLR with Modified Suture Suspension and Platysma Plication (MSSPP).

Main Results:

  • The TDPLR with MSSPP group showed a statistically significant increase in CMA depth (13.9° ± 6.26°) and hyomental distance (1.38 cm ± 0.87 cm).
  • The TDPLR alone group had smaller increases in CMA depth (6.87° ± 6.7°) and hyomental distance (0.75 cm ± 0.68 cm).
  • Statistical significance was observed with P < .05 for both outcomes.

Conclusions:

  • The addition of midline platysmal plication using a modified Giampapa stitch with PDS suture is effective in restoring the CMA in aging neck rejuvenation.
  • This minimally invasive approach enhances outcomes when combined with standard deep plane lateral rhytidectomy.