Fuente-del Campo A, Castro-Govea Y, Cedillo-Ley P

Language: Spanish
References: 18
Page: 49-57
PDF size: 1056.01 Kb.

ABSTRACT

We describe the pertinent anatomy of the neck and the characteristics that define a youthful-appearing neck, the subsequent changes associated with the aging neckline, and the surgical procedure we have developed for restoring the appearance of the neck through a submental approach. This procedure consists of overlapping the platysma muscles in the midline by use of 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 are described in detail and procedures for a supplemental cervical approach in those patients with skin redundancy. The results and complications with 76 patients with a followup of 4 years is presented.

REFERENCES

1. Ellenbogen S, Karlin JV. Visual criteria for success in restoring the youthful neck. Plast Reconstr Surg 1980; 66: 826-837.

2. Cardoso de Castro C. The anatomy of the platysma muscle. Plast Reconstr Surg 1980; 66: 680-683.

3. Bosse JP, Papillon J. Surgical anatomy of the SMAS at the malar region. In: Transactions of the 9th International Congress of Plastic and Reconstructive Surgery. New York: McGraw-Hill 1987; 348-349.

4. Furnas DW. The retaining ligaments of the cheek. Plast Reconstr Surg 1989; 83: 11-16.

5. McKinney P. The management of platysma bands. Plast Reconstr Surg 1989; 98: 999-1006.

6. Guerrerosantos J, Espaillat G, Morales F. Muscular lifts in cervical rhytidoplasty. Plast Reconstr Surg 1974; 54: 127-131.

7. Connell BF. Countoarning the neck in the rhytidectomy by lipectomy and muscle sling. Plast Reconstr Surg 1978; 61: 376-383.

8. Souther SG, Vistnes LM. Medical approximation of the platysma muscle in the treatment of the neck deformities. Plast Reconstr Surg 1981; 67: 607-613.

9. Cardoso de Castro C. The value of the anatomical classification of the medial fibres of platysma muscle in cervical lifting. In: Transactions of the 8th International Congress of Plastica and Reconstructive Surgery. Montreal: McGill University; 1983: 515-516.

10. Feldman J. Corset platysmaplasty. Clin Plast Surg 1992; 19: 369.

11. Weisman PA. One surgeon’s experience with surgical contoaring of the neck. Clin Plast Surg 1983; 10: 521.

12. Millard DR Jr, Grast WP, Beck RL et al. Submental and submandibular lipectomy in conjuntion with a face lift in the male or female. Plast Reconstr Surg 1972; 49: 385.

13. Giampapa VC, Di Bernandro BE. Neck contoaring with suture suspension and liposuction: an alternative for the early rhytidectomy candidate. Aesthet Plast Surg 1995; 19: 217-223.

14. Fuente del Campo A. Midline Platysma Muscular Overlap for Neck Restoration. Plast Reconstr Surg 1998, 102; 1710-1714.

15. Fuente del Campo A. The Hammock Platysmaplasty. Aesthet Surg J 1998; 18: 246-252.

16. Fuente del Campo A. Face lift without preauricular scars. Plast Reconstr Surg 1995; 19: 217-223.

17. Fuente del Campo A. Subperiosteal face lift: open and endoscopic approach. Aesthet Plast Surg 1995; 19: 149-160.

18. Fuente del Campo A. Facial rejuvenetion: technique and rationale. In: Foodor PB, Isse NG, editors. Endoscopically assisted aesthetic plastic surgery. St. Louis, Mo, USA: Mosby 1996; 63: 77.