Extended Dissection of the Mental Area in Face-lift Operations

Pontes, Ronaldo

doi:10.1097/00000637-199111000-00007

Cited by 11 publications

(2 citation statements)

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“…More invasive procedures include the repositioning of the platysma muscle through wide platysma flap dissection. Compared with NAL technique, these procedures present the advantage of a satisfying and long lasting result, but the associated recovery time is long and the associated complications are relatively more frequent and severe 29,30,31,32 ; The associated complications include great hematoma, seroma, cervical nerve neuropraxis [38].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical techniques that can achieve an effective platysma muscle tightening are, among others, the repositioning of the platysma muscle through a wide platysma flap dissection [28][29][30][31][32] and manipulating the subplatysmal structures (lipectomy, digastric muscle resection, submandibular glands resection, plication of the cervical fascia: those have the advantage of a more long lasting result while they are bothered with a longer recovery times and a reported complication rates maybe higher than non invasive techniques (hematoma, seroma, cervical nerve neuropraxis, and recurrent platysma bands) [33][34][35][36][37][38][39][40][41][42]. ePTFE (expanded polytetrafluoroethylene) dualmesh band (Gore-Tex; W. L. Gore, Flagstaff, Ariz, USA) is an alloplastic material that is widely used in surgery, both general and plastic.…”

Section: Introductionmentioning

confidence: 99%

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NAL Neck Artificial Ligament Lifting: Neck Rejuvenation with Polytetrafuotoethylene (PTFE) Bands

Gennai¹

2021

J. Adv. Plast. Surg. Res.

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Background: The current surgical method allows a short recovery and minimally invasive technique with polytetrafluotoethylene (PTFE) bands application, minimal skin excision for a fallen platysma muscle and skin laxity in facelift surgery; the clinical advantage of this method is a short recovery and an anatomic less invasive dissection, ideal for also younger patients who want more and more short healing times. Methods: Retrospective analysis of a 294 cases series of patients seeking platysma and skin laxity increase of neck-face region were included in the study. All of them were primary neck-face lift performed with PTFE bands of dual mesh that are customized for suture to the platysma and anchored to the mastoid, creating a neck artificial ligament (NAL) that is buried into the muscle and tightened, without modifying the superficial musculoaponeurotic system and platysma. Result: Data collection on surgery time, implant dimension selection, and postoperative complications were included. The most frequent complications were rare and include 5 case of superficial epidermolysis (healed within 21 days) and 1 case of mild band infection (treated with antibiotics). The surgical results are still stable over time, like those of a normal facelift after 6 months. Conclusion: minimally invasive NAL application avoids a large dissection and deep modifications of the superficial musculoaponeurotic system and platysma getting a strong upward tension that lasts over time with stable results. Keywords: Cervicoplasty, Neck, Rejuvenation, Aging, Mandible, Platysma Muscle.

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Section: Discussionmentioning

confidence: 99%