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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2000, Number 1

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An Med Asoc Med Hosp ABC 2000; 45 (1)

A minimally invasive procedure for neck restoration

Fuente CA, Cedillo LMP, Yanko Castro GY, Mestre FJ

Language: Spanish
References: 16
Page: 31-36
PDF size: 499.17 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 that we are currently using 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 periostium 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. We analize the results and complications with 54 patients with a follow up of 3 years 5 months.


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