Neck Deformities in Plastic Surgery

Gordon, Neil; Paskhover, Boris; Tower, Jacob I.; O’Daniel, Thomas Gerald

doi:10.1016/j.fsc.2019.07.009

Cited by 9 publications

(15 citation statements)

References 24 publications

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“…During primary and revision rhytidectomy, subcutaneous/subplatysmal fat and digastric muscle reduction should be performed judiciously, and if so, submandibular gland modification must be considered simultaneously. 43,44 Treatment of cobra neck deformity is complicated and one of the most common reasons patients seek early revision surgery. Management of patient's expectations is critical in obtaining satisfactory outcomes.…”

Section: Cobra Neck Deformitymentioning

confidence: 99%

Revision Rhytidectomy: Pearls and Pitfalls

Ziai,

Azizzadeh

2023

Facial Plast Surg

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While rhytidectomy can yield remarkable results, some patients may subsequently require revision rhytidectomy due to either unsatisfactory outcomes from primary surgery or the natural aging process many years later. Like most other secondary plastic surgical procedures, revision rhytidectomy is a complex undertaking and fraught with potential pitfalls. This can be attributable to natural or post-surgical alterations that can occur with the facial skin, Superficial Musculoaponeurotic System/platysma muscle, and/or facial nerve landmarks. Additionally, complications such as cobra neck deformity, pixie ear deformity, and synkinesis can add an extra level of complexity to revisional surgery. Furthermore, as more surgeons are performing deep plane facelifts and more aggressive neck procedures, the risks are further amplified in revisional surgery. In this article, we review the challenges that a facelift surgeon may face when performing revision rhytidectomy and the technical considerations to overcome these obstacles.

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Section: Cobra Neck Deformitymentioning

confidence: 99%

Revision Rhytidectomy: Pearls and Pitfalls

Ziai,

Azizzadeh

2023

Facial Plast Surg

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“…Der exakte Hautverschluss erfolgt dann mit 4–0 Vicryl subcutan versenkten Einzelknopfnähten und einer 5–0 Monocryl intrakutan fortlaufenden Nahtreihe ohne Ausstich. Sollte bei lockerer belassener Halshaut deren Adhäsion am platysmalen Halskorsett fraglich sein, so kann diese mit ein oder zwei perkutanen Druckpolstern an der Muskulatur des Mundbodens fixiert werden 19 20 .…”

Section: Technikenunclassified

Halsstraffung – für jeden Hals die optimale lokale Technik

Borsche¹,

Lemperle²

2023

Handchir Mikrochir Plast Chir

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ZusammenfassungEine Vielzahl Patienten stört nur der Hals, sei es ein leichtes Doppelkinn, ein Fetthals, die auffälligen medialen Platysma-Stränge oder ein richtiger „turkey gobbler“. Für jede dieser Indikationen gibt es eine geeignete Operationsmethode, die Alter und Vorstellung der Patienten, aber auch die Beschaffenheit der Haut, deren Fettgehalt, und die Ausprägung der Falten im ganzen Gesicht und am Hals in Betracht zieht. Hier werden 8 verschiedene moderne Techniken vorgestellt, die einzeln, aber auch in Kombination durchgeführt, für jeden Patienten individuell ausgewählt werden können. 1. Ein „angedeutetes Doppelkinn“ wird abgesaugt 2. Ein „ausgeprägtes Doppelkinn“ wird horizontal exzidiert 3. Ein „reiner Fetthals“ wird abgesaugt und die Haut exzidiert 4. „Lockere Halshaut“ wird vertikal exzidiert oder als Facelift gestrafft 5. Ein ausgeprägter “Truthahnhals“ wird vertikal exzidiert oder als vertikales Facelift gestrafft

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“…Treatments to improve neck aesthetics include both surgical and non-surgical options, which are often combined in comprehensive neck rejuvenation to attain the most natural-looking and long-term results. Overall, we recommend using a systematic layered approach with the goal of modifying the precise anatomical structures causing the cosmetic deformities and avoiding contour abnormalities, which may occur from overcorrection of the superficial layer and undercorrection of the deep layer [21] .…”

Section: Intervention By Planementioning

confidence: 99%

“…Although non-surgical, these modalities are still associated with risks, however, such as skin burns and nerve injuries with energy-based devices, and often require multiple treatments to achieve modest effects [26,27] . For example, there have been reports of radiofrequency devices causing submental contour irregularities and scarring that may make dissection during future neck lift surgery more challenging and the complication risk greater [2,21] . Consequently, the senior author (Nahai F) prefers using liposuction, which is thought to be safer and more effective when no less than 3-5 mm of subcutaneous fat is left on the skin flap, and anatomically limiting the lipectomy to the mandibular border superiorly, anterior border of the sternocleidomastoid muscle laterally, and hyoid bone inferiorly [ Figure 3].…”

Section: Superficial Planementioning

confidence: 99%

A layered approach to neck lift

Weinstein¹,

Nahai²

2021

PAR

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Neck aesthetics are a vital and indispensable component of cervicofacial beauty. Cosmetic deformities may be due to congenital or acquired etiologies and successful management depends on accurately diagnosing the underlying anatomical problems and applying the appropriate surgical and non-surgical procedures to achieve the desired result. For clinical evaluation and treatment, neck anatomy may be conceptualized into three layers wherein the superficial layer consists of the skin and subcutaneous fat, the intermediate layer of platysma muscle and interplatysmal fat, and the deep layer of subplatysmal fat, digastric muscles, submandibular glands, and skeletal support structures. The goal of this article is to review neck aesthetics, cosmetic deformities, and indications for different treatment techniques by way of a systematic layered approach.

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Neck Deformities in Plastic Surgery

Cited by 9 publications

References 24 publications

Revision Rhytidectomy: Pearls and Pitfalls

Revision Rhytidectomy: Pearls and Pitfalls

Halsstraffung – für jeden Hals die optimale lokale Technik

A layered approach to neck lift

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