Fuente CA, Castro GY, Cedillo LP

Language: Spanish
References: 18
Page: 255-262
PDF size: 403.44 Kb.

ABSTRACT

Considering the social and aesthetic needs of the male patient, the pertinent anatomy of the neck and the characteristics that define a youthful-appearing neck are described, as well as the subsequent changes associated with the aging neckline and the surgical procedure that we currently use for restoring the appearance of the neck through a submental approach. This procedure consists of overlapping the platysma muscles in the midline by using lateral traction sutures anchored to the periosteum and deep fascia on the contralateral mastoid region. In cases of severe muscular laxity, the platysma muscles are partially sectioned horizontally at the level of the hyoid bone, creating four muscles flaps (extended procedure). This muscular sectioning functionally elongates the abnormally shortened medial edge of the muscles. The subsequent overlapping of these flaps permits deepening of the cervicomental angle. Its indications, results and complications in 21 male patients with a follow up of 4 years are described in detail.

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