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Dual-plane Deep Reduction Neck Lift for Cervical Lengthening in Short-neck Patients
Danielle Gondim1, Francisco Bravo2
1Private practice in Rio Grande do Norte, Brazil.
Aesthetic Surgery Journal
|July 28, 2026
Summary
A novel dual-plane deep reduction neck lift effectively enhances neck length perception and contour in patients with short necks. This technique offers high patient satisfaction and a safe profile for cervicofacial rejuvenation.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Rejuvenation
Background:
- Short-neck morphology presents challenges in cervicofacial rejuvenation.
- Conventional neck contouring techniques often fail to improve perceived neck length.
Purpose of the Study:
- To evaluate a dual-plane deep reduction neck lift for improving cervical contour and perceived neck length in short-neck patients.
- The technique combines complete platysma transection and vector-controlled platysma repositioning.
Main Methods:
- Retrospective cohort study of 167 patients undergoing deep-plane facelift and dual-plane deep reduction neck lift.
- Analysis focused on 95 patients meeting the Auersvald criterion for short neck.
- Procedure included deep neck reduction, hyoid fasciotomy, complete platysma transection, and differential platysma segment repositioning.
Main Results:
- Significant increase in apparent cervical length (mean PANL ratio 2.49 ± 0.11, p < 0.001).
- All patients demonstrated improved cervical contour.
- High patient satisfaction (94.7% very satisfied) and a mean perceived age reduction of 16 years.
- Low complication rates: transient neuropraxia (4.3%) and sialoma (3.1%).
Conclusions:
- Dual-plane deep reduction neck lift with vector-controlled platysma repositioning consistently improves cervical contour and perceived neck length in short-neck patients.
- The procedure demonstrates high patient satisfaction and a favorable safety profile.