Denervation Neck Lift: An Updated Rhytidectomy Technique and Prospective Follow-Up of 80 Patients

Platysma bands are caused by excessive muscular activity and a novel threefold approach (denervation, platysmaplasty, and skin resection) was developed to minimize recurrence.To investigate the efficacy, tolerability, and satisfaction of this new technique in a larger cohort.A total of 80 patients were included in this prospective descriptive study and followed for 1 year.Surgical platysma transection with intentional denervation was performed simultaneously with a primary rhytidectomy and recurrence, complications, and satisfaction were assessed.Platysma band recurrence occurred in 10% of patients all of whom were >63 years old. There were no major postoperative complications, with a total of 35 minor complications (in 43.7% of patients). Satisfaction scores were high for both patients and the surgeon 1 year after treatment, with Global Aesthetic Improvement Scale scores of 4.64 and 4.54, respectively.This technique was effective and well tolerated, with low rates of recurrence and only minor complications.