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Neck Lift to Treat Platysma Bands and Defining Cervical Angle: A Systematic Review and Pooled Analysis
Janos Cambiaso-Daniel1,2, Salvatore Giordano1,3, Benedetta Agnelli4
1Department of Plastic and Aesthetic Surgery, Milan Face Institute, Milan, Italy.
Facial Plastic Surgery : FPS
|October 15, 2024
Summary
This systematic review found that platysma bands recurred in 1.4% of neck lift patients, with low rates of nerve damage (0.9%) and other complications like hematoma (1.8%). Further research is needed for standardized outcomes.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Systematic Review
Background:
- Neck lift surgery aims to improve the submental-cervical angle but faces challenges with platysma bands and obtuse cervical angles.
- Existing surgical techniques require further evaluation regarding long-term outcomes and complication standardization.
Purpose of the Study:
- To quantify the recurrence rate of platysma bands after neck lift surgery.
- To assess neurovascular damage and other complications following platysma-involved neck lift procedures.
Main Methods:
- A systematic review was conducted following PRISMA guidelines, searching Medline, PubMed, Google Scholar, and Cochrane databases.
- Data from 12 articles involving 2,106 patients undergoing neck lift with platysma transection were pooled using a random effects model.
Main Results:
- The pooled recurrence rate of platysma bands was 1.4% (26/2,106 patients).
- Pooled complication rates included nerve damage at 0.9%, hematoma at 1.8%, and sialoma at 0.3%.
- Less frequent complications included prolonged edema, submental suspension dehiscence, and skin necrosis.
Conclusions:
- Neck lift surgery involving platysma management demonstrates a low recurrence rate for platysma bands and generally low complication rates.
- Standardized reporting of long-term outcomes and complications is necessary to effectively compare different neck lift techniques.
