Facial Plast Surg 2019; 35(05): 516-524
DOI: 10.1055/s-0039-1696655
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Graduated Approach to Surgical Neck Contouring

1   Department of Facial Plastic Surgery, Meridian Plastic Surgery Center, Indianapolis, Indiana
,
Stephen W. Perkins
1   Department of Facial Plastic Surgery, Meridian Plastic Surgery Center, Indianapolis, Indiana
› Author Affiliations
Further Information

Publication History

Publication Date:
22 October 2019 (online)

Abstract

Achieving a more youthful neckline is one of the most common reasons why patients seek facial plastic surgery. A variety of treatment options are available to contour the neck, ranging from injectable medications to minimally invasive energy devices to surgery. A spectrum of surgical procedures can be offered to contour the neck, including liposuction, submentoplasty, necklift, and facelift, all with or without implants. The ideal neck aesthetic, pertinent anatomy, patient evaluation process, indications, and techniques for the aforementioned procedures are discussed in this article. A graduated approach to neck contouring based on the senior author's long-term experience is provided.

 
  • References

  • 1 Ellenbogen R, Karlin JV. Visual criteria for success in restoring the youthful neck. Plast Reconstr Surg 1980; 66 (06) 826-837
  • 2 Dedo DD. “How I do it”--plastic surgery. Practical suggestions on facial plastic surgery. A preoperative classification of the neck for cervicofacial rhytidectomy. Laryngoscope 1980; 90 (11 Pt 1): 1894-1896
  • 3 Perkins SW, Waters HH. The extended SMAS approach to neck rejuvenation. Facial Plast Surg Clin North Am 2014; 22 (02) 253-268
  • 4 Shadfar S, Perkins SW. Anatomy and physiology of the aging neck. Facial Plast Surg Clin North Am 2014; 22 (02) 161-170
  • 5 Levy PM. Neurotoxins: current concepts in cosmetic use on the face and neck–jawline contouring/platysma bands/necklace lines. Plast Reconstr Surg 2015; 136 (5, Suppl): 80S-83S
  • 6 Levy PM. The ‘Nefertiti lift’: a new technique for specific re-contouring of the jawline. J Cosmet Laser Ther 2007; 9 (04) 249-252
  • 7 Patel S, Kridel R. Current trends in management of submental liposis: a pooled analysis and survey. JAMA Facial Plast Surg 2018; 20 (03) 202-206
  • 8 Krueger N, Mai SV, Luebberding S, Sadick NS. Cryolipolysis for noninvasive body contouring: clinical efficacy and patient satisfaction. Clin Cosmet Investig Dermatol 2014; 7: 201-205