Alternative Management of the Aging Jawline and Neck

ABSTRACT

The lower third of the face and neck have distinct changes that occur with aging. These changes can be globally and dramatically addressed with a traditional rhytidectomy. However, as the demographics of facial plastic surgery patients evolve, patients seek increasingly less invasive procedures that will result in faster recovery time and less postoperative morbidity. To accommodate this change, today’s facial plastic surgeon must include less invasive procedures in the treatment strategies for the lower face and neck. Correct, patient-specific procedure selection and patient education can yield results similar to those of a traditional facelift. This article discusses options available for treatment of the lower face and neck.

KEYWORDS

Rhytidectomy - facial aging - minimally invasive surgery - chin augmentation - platysmaplasty

REFERENCES

• 1 Powell N, Humphreys B. Proportions of the Aesthetic Face. New York; Thieme-Stratton Medical Publishers 1984
• 2 Ellenbogen R, Karlin J V. Visual criteria for success in restoring the youthful neck.  Plast Reconstr Surg. 1980;  66 826-837
• 3 Millard Jr D R, Garst W P, Beck R L, Thompson I D. Submental and submandibular lipectomy in conjunction with a face lift in a male or female.  Plast Reconstr Surg. 1972;  49 385-391
• 4 Gryskiewicz J M. Submental suction-assisted lipectomy without platysmaplasty: pushing the envelope to avoid a face lift for unsuitable candidates.  Plast Reconstr Surg. 2003;  112 1393-1405
• 5 Kamer F M. Isolated platysmaplasty: a useful procedure but with not important limitations.  Arch Facial Plast Surg. 2003;  5 184-188
• 6 Knize D M. Limited incision submental lipectomy and platysmaplasty.  Plast Reconstr Surg. 1998;  101 473-481
• 7 Farkas L G, Hreczko T A, Katic M J. Craniofacial Norms in North American Caucasians from Birth (One Year) to Adulthood. Anthropometry of the Head and Face. 2nd ed New York; Raven Press 1994 Appendix A
• 8 Zide B M, Pfeifer T M, Longaker M T. Chin surgery I: augmentation-the allures and the alerts.  Plast Reconstr Surg. 1999;  104 1843-1853
• 9 Yaremchuk M J. Improving aesthetic outcomes after alloplastic chin augmentation.  Plast Reconstr Surg. 2003;  112 1422-1432
• 10 Matarasso A, Elias A C, Elias R L. Labial incompetence: a marker for progressive bone resorption in Silastic chin augmentation: an update.  Plast Reconstr Surg. 2003;  112 , discussion 676-678
• 11 Food and Drug Administration .Rockville, MD Clinical review: Hylaform viscoelastic gel. Available at: http://www.fda.gov/ohrms/dockets/ac/03/briefing/4004b1_08_Hylaform%20clinical.pdf. Accessed March 11, 2005
• 12 Food and Drug Administration .Rockville, MD Summary of Safety and effectiveness data, Restylane. Available at: http://www.fda.gov/cdrh/pdf2/P020023b.pdf. Accessed March 11, 2005
• 13 Narins R S, Brandt F, Leyden J, Lorenc Z P, Rubin M, Smith S. A randomized, double-blind, multicenter comparison of the efficacy and tolerability of Restylane versus Zyplast for the correction of nasolabial folds.  Dermatol Surg. 2003;  29 588-595
• 14 Olenius M. The first clinical study using a new biodegradable implant for the treatment of lips, wrinkles, and folds.  Aesthetic Plast Surg. 1998;  22 97-101
• 15 Duranti F, Salti G, Bovani B, Calandra M, Rosati M L. Injectable hyaluronic acid gel for soft tissue augmentation. A clinical and histological study.  Dermatol Surg. 1998;  24 1317-1325
• 16 Tzikas T L. Evaluation of the Radiance FN soft tissue filler for facial soft tissue augmentation.  Arch Facial Plast Surg. 2004;  6 234-239
• 17 Carucci J A, Zweibel S M. Botulinum A exotoxin for rejuvenation of the upper third of the face.  Facial Plast Surg. 2001;  17 11-20
• 18 Kane M A. Nonsurgical treatment of platysmal bands with injection of botulinum toxin A.  Plast Reconstr Surg. 1999;  103 656-663