Subplatysmal Necklift: A Retrospective Analysis of 504 Patients

Abstract

4 Therapeutic.

A layered approach to neck lift

“…In a retrospective study by Auersvald of 504 patients who underwent subplatysmal neck lift, 307 (61%) had submandibular gland resection. While 5.8% of this cohort experienced transient lower lip depressor weakness and 0.4% submandibular gland sialoma, there were no instances of subplatysmal hematoma [40] . In an unpublished series of 100 consecutive neck lifts performed by the senior author (Nahai F) between 2003 and 2005, subplatysmal procedures were undertaken in 56% of cases, of which 16% involved partial submandibular gland resection, and there were no postoperative instances of subplatysmal hematoma, permanent marginal mandibular nerve injury, dry mouth, or radical appearance of the neck (study findings presented at the annual meeting of the American Society for Aesthetic Plastic Surgery in 2005 by Dr. Farzad Nahai) [ Figure 6].…”

Sternohyoid muscles plication and sternocleidomastoid muscles rejuvenation in neck lift: a retrospective study of 1,019 consecutive patients

“…Patients undergo total intravenous anesthesia with orotracheal intubation. They are initially induced with midazolam (0.1 mg/kg), methadone (0.1 mg/kg), propofol (target-controlled infusion -2.5 mg/mL), and rocuronium bromide [4] , concomitantly followed by either remifentanil (target-controlled infusion -5 ng/mL) or dexmedetomidine (1 mg/kg for 10 min). A local anesthetic tumescent infiltration is used to facilitate dissection and to improve analgesic control during and after surgery [1 L of saline, 40 mL of 2% lidocaine, 20 mL of 1% ropivacaine, and epinephrine (1:1,000,000)].…”

“…Improving the cervical contour is one of the main goals of patients seeking face and neck rejuvenation [1][2][3][4] . Criteria to define the youthful neck have been previously established and include a distinct inferior mandibular border, an identifiable subhyoid depression, a visible thyroid cartilage bulge, a cervicomental angle between 105° and 120°, and a discernable anterior border of the sternocleidomastoid muscles (SCMs) [5] .…”

Invited Discussion on: Aesthetic Submandibular Gland Partial Resection—A Systematic Review and Critical Analysis of the Evidence

“…Interest around SMG reduction has been raised substantially over the last 15 years after the papers by Connell, Marten, Sullivan, Feldman, Ramirez, Mendelson, Guyuron, Rohrich, Auerswald, Bravo, Pelle Ceravolo, etc. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17], and as a result, an ever increasing number of surgeons are carrying out SMG reduction nowadays in conjunction with face lift.…”