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Limited incision submental lipectomy and platysmaplasty
1Department of Surgery at the University of Colorado Health Sciences Center, Denver, USA.
Plastic and Reconstructive Surgery
|February 14, 1998
Summary
Facial rejuvenation techniques have evolved significantly, moving from simple skin tightening to advanced methods like corset platysmaplasty and submental lipectomy for improved neck contouring and reduced submental fat.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Facial Anatomy
Background:
- Submental fat and platysma bands were poorly addressed by early facial rejuvenation.
- Previous methods like skin tightening led to recurrent platysma bands.
- Surgical techniques have progressively improved over three decades.
Purpose of the Study:
- To describe an evolution of surgical techniques for submental and neck rejuvenation.
- To present a specific single-incision technique for submental lipectomy and platysmaplasty.
- To discuss the efficacy of a limited-incision approach for cervicomandibular angle improvement.
Main Methods:
- Review of historical surgical approaches for submental rejuvenation.
- Description of direct excision, periauricular incision, and corset platysmaplasty.
- Detailed explanation of a single limited anterior submental incision technique for lipectomy and platysmaplasty.
Main Results:
- Early methods like direct excision and periauricular approaches offered limited improvement.
- Current standard involves "corset" platysmaplasty and suction-assisted lipectomy.
- A single submental incision technique allows direct visualization and treatment of submental tissues.
Conclusions:
- Surgical management of the aging submental region has advanced considerably.
- The described single-incision technique offers a viable option for submental rejuvenation.
- Postoperative compression is crucial for optimal skin contraction and contouring.