The extended neck lift: the "bottom line"

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Facial Anatomy

Background:

• Submental lipectomy and platysma muscle manipulation improve neck lift outcomes.
• Significant excess skin remains a primary challenge in neck rejuvenation.
• Current techniques have limitations in maximizing skin excision.

Purpose of the Study:

• To describe an extended neck lift method for increased excess skin removal.
• To evaluate the efficacy of ancillary cervical lipectomy and platysma repositioning.
• To present a technique for improved neck contouring and rejuvenation.

Main Methods:

• An extended neck lift involving ancillary cervical lipectomy and platysma repositioning.
• Modification of posterior incisions, extending them medially and inferiorly.
• Technique for managing 'dog ears' by pulling them toward the midline.

Main Results:

• The described extended neck lift permits the excision of large amounts of excess skin.
• The modified posterior incisions facilitate improved skin envelope management.
• The technique appears to yield worthwhile aesthetic improvements.

Conclusions:

• Extended neck lift techniques can significantly enhance skin excision in neck rejuvenation.
• Modified posterior incisions offer a valuable approach to managing excess neck skin.
• This extended method provides superior results compared to standard neck lift procedures.