9 Surgical Techniques for Treatment of the Aging Neck

Munique Maia and Marcelo Cunha Araujo

Abstract

Early signs of aging can be seen on the neck before they appear on the face. A number of noninvasive procedures are available to reverse the signs of aging in these areas. Although these procedures can delay the need for a facelift, they are less effective on the neck. A neck lift is a highly beneficial and effective procedure to address the major components of aging (skin, muscle, and adipose tissue). We present a systematic approach to analyze and treat the aging neck based on anatomy and individual features. Different techniques are discussed for each particular concern.

Schlüsselwörter

aging neck - surgical neck lift - facial analysis - neck rejuvenation

• 1 Connell BF. Contouring the neck and rhytidectomy by lipectomy and a muscle sling.. Last 1971; 48: 443

• 2 Connell BF. Neck contour deformities. The art, engineering, anatomic diagnosis, architectural planning, and aesthetics of surgical correction.. Clin Plast Surg 1987; 14 (4) 683-692 PubMed

• 3 Connell BF. Cervical lifts: the value of platysma muscle flaps.. Ann Plast Surg 1978; 1 (1) 32-43 PubMed

• 4 Connell BF. Complete transverse section of the platysma muscle and preparotid and submandibular lipectomies. Paper presented at: Annual Meeting of the American Society of Aesthetic Plastic Surgery; March 23, 1977; Los Angeles, CA

• 5 Connell BF. Contouring the neck in rhytidectomy by lipectomy and a muscle sling. Plast Reconstr Surg. 1978; 61(3):376--383

• 6 Feldmann JJ. Treatment of the difficult neck: panel discussion.. Aesthet Surg J 2000; 20: 495

• 7 Feldmann JJ. Corset platysmaplasty: reply.. Plast Reconstr Surg 1991; 87: 197

• 8 Baker TJ, Gordon HL, Whitlow DR. Our present technique for rhytidectomy.. Plast Reconstr Surg 1973; 52 (3) 232-236 PubMed

• 9 Pitanguy I. Facial surgery for rejuvenation.. Orthod Fr 2005; 76 (3) 261-263 PubMed

• 10 Knize DM. Limited incision submental lipectomy and platysmaplasty.. Plast Reconstr Surg 1998; 101 (2) 473-481 PubMed

• 11 Labbé D, Franco RG, Nicolas J. Platysma suspension and platysmaplasty during neck lift: anatomical study and analysis of 30 cases.. Plast Reconstr Surg 2006; 117 (6) 2001-2007, discussion 2008–2010 PubMed

• 12 Marten TJ, Feldman JJ, Connell BF, Little WJ. Treatment of the full obtuse neck. Aesthet Surg J. 2005; 25(4):387-397

• 13 Stuzin JM, Baker TJ, Gordon HL. The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. Plast Reconstr Surg. 1992; (89)3: 441--449; discussion 450--451

• 14 Aston SJ, Feldman JJ, Giampapa VC, Lambros VS. Strategies for the neck: panel discussion.. Aesthet Surg J 1994; 14: 4-9

• 15 Furnas DW. The retaining ligaments of the cheek. Plast Reconstr Surg. 1989; 83(1):11--16

• 16 Pessa JE, Garza PA, Love VM, Zadoo VP, Garza JR. The anatomy of the labiomandibular fold.. Plast Reconstr Surg 1998; 101 (2) 482-486 PubMed

• 17 de Castro CC. The anatomy of the platysma muscle.. Plast Reconstr Surg 1980; 66 (5) 680-683 PubMed

• 18 Cardoso de Castro C, Aboudib Jr JH. Extensive cervical and lower face lipectomy: its importance and anatomical basis.. Ann Plast Surg 1980; 4 (5) 370-375 PubMed

• 19 Mendelson BC. SMAS fixation to the facial skeleton: rationale and results.. Plast Reconstr Surg 1997; 100 (7) 1834-1842, discussion 1843–1845 PubMed

• 20 Aston SJ. Platysma muscle in rhytidoplasty.. Ann Plast Surg 1979; 3 (6) 529-539 PubMed

• 21 Aston SJ. Problems and complications in the neck (platysma). Paper presented at: Symposium on Problems and Complications in Aesthetic Plastic Surgery of the Face; January 27–30, 1980; Monterey, CA

• 22 Baker DC. Minimal incision rhytidectomy (short scar face lift) with lateral SMASectomy: evolution and application.. Aesthet Surg J 2001; 21 (1) 14-26 PubMed

• 23 Fuente del Campo A. Midline platysma muscular overlap for neck restoration.. Plast Reconstr Surg 1998; 102 (5) 1710-1714, discussion 1715 PubMed

• 24 Marchac D. Julien Bourguet. The pioneer in aesthetic surgery of the neck.. Clin Plast Surg 1983; 10 (3) 363-365 PubMed

• 25 González-Ulloa M. The history of rhytidectomy.. Aesthetic Plast Surg 1980; 4 (1) 1-45 PubMed

• 26 Owsley Jr JQ. SMAS-platysma face lift.. Plast Reconstr Surg 1983; 71 (4) 573-576 PubMed

• 27 Saylan Z. An update on serial notching of the platysma bands.. Aesthet Surg J 2002; 22: 274

• 28 Bourguet J. La Véritable Chirurgie Esthétique du Visage. Paris: Plon Ed; 1936

• 29 Bourguet J.. II: La disparition chirurgicale des rides et plis du visage.. Acad Méd (Paris) 1919; 82: 183

• 30 Guerrerosantos J. Surgical correction of the fatty fallen neck. Ann Plast Surg. 1979 May; 2(5):389--396

• 31 Guerrerosantos J et al. Correction of cervico-facial wrinkles.. Rev San Guad (Mex) 1971; 4: 97

• 32 Giampapa VC, Di Bernardo BE. Neck recontouring with suture suspension and liposuction: an alternative for the early rhytidectomy candidate.. Aesthetic Plast Surg 1995; 19 (3) 217-223 PubMed

• 33 Nahai F. Reconsidering neck suspension sutures.. Aesthet Surg J 2004; 24 (4) 365-367 PubMed

• 34 Aufricht G. Surgery for excess skin of the face. In Transactions of the Second International Congress of Plastic Surgery. Edinburgh: E & S Livingston; 1960:495–502

• 35 Auersvald A, Auersvald LA, Oscar Uebel C. Subplatysmal necklift: a retrospective analysis of 504 patients.. Aesthet Surg J 2017; 37 (1) 1-11 PubMed

• 36 McKinney P. The management of platysma bands.. Plast Reconstr Surg 1996; 98 (6) 999-1006 PubMed

• 37 Singer DP, Sullivan PK. Submandibular gland I: an anatomic evaluation and surgical approach to submandibular gland resection for facial rejuvenation.. Plast Reconstr Surg 2003; 112 (4) 1150-1154, discussion 1155–1156 PubMed

• 38 Jongerius PH, Joosten F, Hoogen FJ, Gabreels FJ, Rotteveel JJ. The treatment of drooling by ultrasound-guided intraglandular injections of botulinum toxin type A into the salivary glands.. Laryngoscope 2003; 113 (1) 107-111 PubMed

• 39 Kane MA. Nonsurgical treatment of platysmal bands with injection of botulinum toxin A.. Plast Reconstr Surg 1999; 103 (2) 656-663, discussion 664–665 PubMed

• 40 Ramirez OM. Cervicoplasty: nonexcisional anterior approach. A 10-year follow-up.. Plast Reconstr Surg 2003; 111 (3) 1342-1345, discussion 1346–1347 PubMed

• 41 de Pina DP, Quinta WC. Aesthetic resection of the submandibular salivary gland.. Plast Reconstr Surg 1991; 88 (5) 779-787, discussion 788 PubMed

• 42 Guyuron B. Secondary rhytidectomy.. Plast Reconstr Surg 2004; 114 (3) 797-800 PubMed

• 43 Baker DC. Face lift with submandibular gland and digastric muscle resection: Radical neck rhytidectomy.. Aesthet Surg J 2006; 26: 85

• 44 Baker DC, Conley J. Avoiding facial nerve injuries in rhytidectomy. Anatomical variations and pitfalls.. Plast Reconstr Surg 1979; 64 (6) 781-795 PubMed

• 45 Connell BF, Hosn W. Importance of the digastric muscle in cervical contouring: an update, Aesthet Surg J. 2000; 20(1):12--16

• 46 Ellenbogen R, Karlin JV. Visual criteria for success in restoring the youthful neck. Plast. Reconstr. Surg. 1980; 66:826