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Denervation Neck Lift: An Updated Rhytidectomy Technique and Prospective Follow-Up of 80 Patients
Gisella Criollo-Lamilla1, Thibault Trévidic1, Alexander Imanilov1
1Expert2expert Group, Budapest, Hungary.
Facial Plastic Surgery : FPS
|June 2, 2025
Summary
A new threefold surgical approach effectively treats platysma bands, showing high patient satisfaction and minimal recurrence. This technique, involving denervation, platysmaplasty, and skin resection, is well-tolerated with only minor complications.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Anatomy
Background:
- Platysma bands result from excessive muscular activity.
- Recurrence of platysma bands is a common concern after surgical correction.
- A novel threefold approach was developed to address these limitations.
Purpose of the Study:
- To evaluate the efficacy and safety of a threefold surgical technique for platysma band correction.
- To assess patient and surgeon satisfaction following the procedure.
- To investigate recurrence and complication rates in a larger patient cohort.
Main Methods:
- Prospective descriptive study of 80 patients followed for 1 year.
- Surgical platysma transection with intentional denervation.
- Simultaneous primary rhytidectomy, platysmaplasty, and skin resection.
Main Results:
- Platysma band recurrence observed in 10% of patients, exclusively in those over 63 years old.
- No major postoperative complications reported; 35 minor complications occurred in 43.7% of patients.
- High patient and surgeon satisfaction scores (4.64 and 4.54 on Global Aesthetic Improvement Scale) at 1-year follow-up.
Conclusions:
- The threefold surgical technique is effective and well-tolerated for treating platysma bands.
- Low recurrence rates and predominantly minor complications suggest favorable outcomes.
- The procedure offers high patient satisfaction, making it a viable option for platysma band correction.
