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Cervicoplasty: nonexcisional anterior approach
1Johns Hopkins University School of Medicine, Baltimore, Md, USA.
Plastic and Reconstructive Surgery
|May 1, 1997
Summary
This endoscopic cevicoplasty technique uses a submental incision for neck contouring without skin removal. It offers results comparable to open surgery in select patients with good skin quality.
Area of Science:
- Plastic Surgery
- Endoscopic Surgery
- Aesthetic Medicine
Background:
- Cevicoplasty aims to improve neck contour.
- Traditional methods often involve skin excision.
- Minimally invasive approaches are increasingly sought.
Observation:
- A novel endoscopic cevicoplasty technique is presented.
- It utilizes a limited submental incision (3-4 cm).
- The procedure avoids skin removal, relying on skin redraping.
Findings:
- Key steps include subplatysmal dissection, fat removal, and platysma muscle plication.
- Digastric muscles are managed via shaving or plication.
- Suture suspension may be used for submental angle definition.
- The technique achieves a smooth submental contour.
Implications:
- This endoscopic approach offers a less invasive alternative for neck rejuvenation.
- Patient selection is crucial, favoring those with good skin elasticity.
- Results appear comparable to open excisional techniques with high satisfaction.
- Further studies are needed to assess long-term durability.