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Submental lipectomy with skin excision

J M Hamilton

    Plastic and Reconstructive Surgery
    |September 1, 1993
    PubMed
    Summary
    This summary is machine-generated.

    A novel Z-incision technique for submental skin and fat excision offers improved exposure and simple closure. This method yields satisfactory results with minimal scarring, particularly for significant submental folds or post-rhytidectomy redundancy.

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    Area of Science:

    • Plastic Surgery
    • Dermatologic Surgery

    Background:

    • Submental fat and skin laxity are common aesthetic concerns.
    • Traditional rhytidectomy may not fully address significant submental redundancy.
    • Patient preference and specific anatomical findings often guide surgical approach.

    Purpose of the Study:

    • To introduce and evaluate a modified Z-incision technique for submental skin and fat excision.
    • To assess the efficacy and aesthetic outcomes of this specific surgical approach.
    • To determine the suitability of this method for selected patient populations.

    Main Methods:

    • A modified Z-incision technique was employed for submental skin and fat excision.
    • The procedure facilitates modification of platysma muscles and subplatysmal fat.

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  • The study involved 32 patients over an 18-year period.

    • Main Results:

    • Satisfactory aesthetic results were achieved in all 32 patients.
    • The modified Z-incision resulted in inconspicuous scars.
    • The technique provided wide exposure, simplifying closure and enabling muscle/fat modification.

    Conclusions:

    • The modified Z-incision technique is an effective method for submental skin and fat excision.
    • It is particularly beneficial for patients with large submental folds or residual redundancy after rhytidectomy.
    • This approach offers a valuable alternative when standard rhytidectomy is insufficient.