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Direct Neck Lift in Men
Parker Velargo1, John Holtrop2, Bill Aukerman2
1New Orleans Center for Aesthetics and Plastic Surgery, New Orleans, Louisiana, United States.
Direct submentoplasty offers a valuable surgical option for aging male patients seeking neck rejuvenation. This procedure effectively addresses neck laxity and fullness, providing an alternative to traditional rhytidectomy with improved outcomes and reduced recovery time.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Anatomy
Background:
- Direct submentoplasty is a refined surgical technique for male neck rejuvenation.
- Historical evolution includes various skin excision patterns like the Grecian urn.
- Understanding cervical aging anatomy is crucial for effective treatment.
Purpose of the Study:
- To evaluate direct submentoplasty as an alternative to rhytidectomy in male patients.
- To discuss the anatomical considerations and patient selection for the procedure.
- To highlight techniques for optimizing results and recovery.
Main Methods:
- Analysis of anatomical contributors to cervical aging.
- Patient selection criteria for direct submentoplasty versus deep structural neck lift.
- Description of various skin excision patterns and scar modulation strategies.
Main Results:
- Direct submentoplasty addresses cervical laxity and fullness without feminization or periauricular scars.
- Optimal candidates have submental laxity above the thyroid cartilage and accept an anterior scar.
- Deep structural neck lift is suitable for patients with good skin elasticity and minimal laxity.
Conclusions:
- Direct submentoplasty is an essential tool for aging male patients with appropriate selection.
- The technique offers reproducible results and avoids limitations of traditional rhytidectomy.
- Comprehensive preoperative analysis and tailored surgical approaches are key to successful outcomes.
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