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Deep neck surgery in deep plane facelifts - learning from evidence and experience
Alexandre G Lellouch1, Leonard Knoedler2, Michael Alfertshofer3
1Division of Plastic and Reconstructive surgery, Cedars Sinai Hospital, Los Angeles, USA; Vascularized Composite Allotransplantation Laboratory, Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Université Paris Cité, Inserm The Paris Cardiovascular Research Center, Team Endotheliopathy and Hemostasis Disorders, Paris, France; AP-HP, Hôpital Européen Georges Pompidou, Hematology Department, Paris, France.
Advanced neck rejuvenation techniques, including corset platysmaplasty and selective myotomies, enhance deep plane facelifts. These refined strategies offer improved structural support, jawline definition, and lasting aesthetic outcomes for patients.
Area of Science:
- Plastic Surgery
- Facial Anatomy
Background:
- Deep plane facelifts are increasingly popular for natural, long-lasting results.
- This trend necessitates advanced techniques for comprehensive neck rejuvenation.
Purpose of the Study:
- To review and highlight innovative surgical strategies for neck rejuvenation.
- To emphasize the role of advanced techniques in complementing deep plane facelifts.
Main Methods:
- Review of clinical experience and existing literature on neck rejuvenation.
- Discussion of surgical techniques including midline corset platysmaplasty, lateral platysma repositioning, and novel plication methods.
- Exploration of adjunctive procedures like submandibular gland reduction and myotomies.
Main Results:
- Refined strategies effectively address platysmal laxity, glandular prominence, and fat distribution.
- Midline corset platysmaplasty and lateral platysma repositioning enhance jawline definition and structural support.
- Novel plication techniques and adjunctive procedures contribute to sustained aesthetic outcomes and high patient satisfaction.
Conclusions:
- Innovations in neck rejuvenation significantly improve patient satisfaction and aesthetic results.
- Individualized, anatomy-driven approaches are crucial for optimizing neck rejuvenation outcomes.
- Continued evolution in surgical precision and technology will further advance neck rejuvenation procedures.

