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Posterior cervical rhytidectomy: a valuable adjunct in facial rejuvenation surgery
J P Campbell1, E G McCollough, S E Metzinger
1Section on Facial Plastic and Reconstructive Surgery, University of Kentucky, Lexington 40536-0084, USA.
Objective:
To describe the aesthetic indications and operative technique of posterior cervical rhytidectomy as a staged procedure after extended cervical-facial rhytidectomy.
Design:
The senior author's series of patients requiring posterior cervical rhytidectomy is reviewed, including preoperative and postoperative aesthetic results.
Setting:
A private practice plastic surgery clinic.
Patients:
Eleven patients who underwent staged posterior cervical rhytidectomy after extensive cervical-facial rhytidectomy are presented, with follow-up ranging from 3 months to 8 years. During this same duration, 941 primary and 256 secondary cervical-facial rhytidectomies were performed.
Interventions:
The preoperative and postoperative results are presented along with a description of the pertinent anatomy and the senior author's operative technique. Potential complications are reviewed. A discussion is included on ways to minimize these untoward sequelae.
Outcome Measure:
The aesthetic postoperative results are reviewed, and representative clinical photographs are presented.
Results:
Staged posterior cervical rhytidectomy is a safe and effective means of improving certain stigmata of previous cervical-facial rhytidectomy in patients requiring extensive facial rejuvenation.
Conclusions:
Posterior cervical rhytidectomy is a valuable surgical adjunct in selective patients who demonstrate redundant skin and soft tissue in the posterior cervical region.