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Muscles of the Anterior Neck

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The anterior neck muscles are the group of muscles covering the front part of the neck. These muscles are classified into three subgroups. The first one is the superficial muscles, the most visible muscles in the front of the neck. It includes the platysma and sternocleidomastoid. The second group is the suprahyoid muscles, located above the hyoid bone. This group comprises the digastric, mylohyoid, geniohyoid, and stylohyoid. Lastly, the infrahyoid muscles are found below the hyoid bone and...

Muscles for Facial Expressions

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The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...

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Anatomical Consideration for Double Chin Thread Lifting.

Gi-Woong Hong¹, Jovian Wan², Song-Eun Yoon³

¹Samskin Plastic Surgery Clinic, Seoul, Korea.

Journal of Cosmetic Dermatology

|June 13, 2025

Summary

This summary is machine-generated.

Submental thread lifting for double chins is safer and more effective when anchoring to the subangular deep fascia. This anatomical approach enhances safety and improves traction for optimal, lasting results.

Keywords:

cervical fascia mentum minimally invasive surgical procedures platysma muscle rhytidoplasty

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Area of Science:

Aesthetic medicine
Anatomy
Minimally invasive procedures

Background:

Submental fullness (double chin) is a common aesthetic concern.
Thread lifting offers a minimally invasive solution for submental contouring.
Accurate anatomical understanding is crucial for safe and effective double chin correction.

Purpose of the Study:

To outline key anatomical considerations for double chin thread lifting.
To present procedural strategies for optimizing outcomes.
To compare thread techniques and fixation methods.

Main Methods:

Review integrating cadaveric dissection and ultrasound imaging of cervical anatomy.
Analysis of platysmal patterns, fascial layers, and neurovascular landmarks.
Comparison of I-shaped and U-shaped cogged threads, focusing on subangular deep fascia fixation.

Main Results:

High prevalence (85%) of platysmal decussation in Korean patients.
Subangular deep fascia anchoring avoids critical nerves and glands, enhancing safety over mastoid fixation.
Medial-to-lateral insertion with reverse cogs improves submental traction; ultrasound guidance increases accuracy.

Conclusions:

Subangular deep fascia is a superior anchor point for improved safety and effectiveness in submental thread lifting.
Individualized treatment planning considering anatomical variations is essential.
Optimized anatomical approaches lead to superior and enduring aesthetic results.