Treatment of Anterior Neck Aging without a Submental Approach: Lateral Skin-Platysma Displacement, a New and Proven Technique for Platysma Bands and Skin Laxity

Pelle-Ceravolo, Mario; Angelini, Matteo; Silvi, E

doi:10.1097/prs.0000000000003030

Cited by 39 publications

(11 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Resultsmentioning

confidence: 99%

“…Eleven studies were rated level 2 in quality of evidence . Seven of these (64%) concerned soft-tissue techniques; 2 (18%), tissue sealants; 1 (9.1%), topical use of silicone to prevent scarring; and 1 (9.1%), the use of resurfacing at the time of rhytidectomy . Of the 7 studies pertaining to soft-tissue techniques, 3 concerned minimally invasive techniques, such short scar, thread-lift, and minimal access cranial suspension (MACS)–lift techniques.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Advances in Face-lift Techniques, 2013-2018

Floyd

Sukato

Perkins

2019

JAMA Facial Plast Surg

View full text Add to dashboard Cite

IMPORTANCE Rhytidectomy, or face-lift surgery, is the mainstay of facial rejuvenation and is constantly evolving. There is continuous research to improve outcomes and minimize complications of this surgery.OBJECTIVE To synthesize the updated techniques in rhytidectomy published during the past 5 years, including surgical technique, advances in anesthetic technique, minimally invasive techniques, and adjunctive procedures performed at the time of rhytidectomy.EVIDENCE REVIEW On February 8, 2018, a literature search was performed of the PubMed and Cochrane databases using the search terms, face-lift or rhytidectomy and techniques. Articles published from February 8, 2013, to February 8, 2018, that related to techniques of facial rejuvenation in the lower one-third of the face by lifting and supporting tissue with 5 or more patients were included. Systematic reviews and primary literature were considered; narrative reviews, validation studies, and anatomic studies were eliminated. The initial search resulted in 604 articles after duplicates were removed. This was reduced to 84 articles after dual independent review screening.FINDINGS Of the 84 articles included, 51 (61%) regarding techniques of face-lifting in the past 5 years pertained to soft-tissue techniques; 14 (17%) pertained to implants or adjunctive medications, such as tissue sealants; and 12 (14%) related to adjunctive techniques performed in addition to face-lifting, such as fat grafting, resurfacing, and liposuction. All studies found the techniques reported therein to be effective, with similar or fewer complications compared with the literature. However, according to the Oxford Centre for Evidence-Based Medicine criteria, the level of evidence of the studies was generally poor, because 45 of the studies (54%) were case series (level 4 of evidence).CONCLUSIONS AND RELEVANCE Several new techniques have been explored for rhytidectomy or face-lift in the past 5 years, including soft-tissue techniques, introduction of implants or topical medications such as tissue sealants, and concomitant adjunctive techniques to enhance results. The overall quality of the evidence is poor, with most articles using case series with nonvalidated measures to evaluate outcomes. There is considerable room for improvement in the literature if additional studies using cohort designs and validated outcomes are performed to validate the quality of the techniques introduced during the past 5 years.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Advances in Face-lift Techniques, 2013-2018

Floyd

Sukato

Perkins

2019

JAMA Facial Plast Surg

View full text Add to dashboard Cite

show abstract

“…31 Other authors advocate a more aggressive lateral platysmaplasty while avoiding a submental incision. 32,33 Because the success of a modern facelift is often judged by the quality of the neck contour correction, in the authors experience, there is a low threshold to open the neck as doing so allows the ability to tighten via midline platysmaplasty, sculpt subplatysmal contents, and reduce the incidence of recurrent platysmal bands. 34…”

Section: Incision Planningmentioning

confidence: 99%

Getting Better Results in Facelifting

Rohrich

Sinno²,

Vaca

2019

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

The facelift has significantly evolved over the past several decades. What was once considered a skin only operation is now a sophisticated, elegant procedure that requires meticulous preoperative analysis, understanding of underlying anatomically based aging changes, and extreme attention to detail. According to the American Society of Plastic Surgeons, 125,697 facelifts were performed in 2017. It is not surprising that given these advances that facial rejuvenation surgery is still a very common procedure with a high degree of patient satisfaction despite the increase in nonsurgical facial aging treatments. With an improved understanding of facial anatomy including the facial retaining ligaments and intervening superficial and deep fat compartments, the modern facelift requires an anatomically targeted approach. Furthermore, the modern facelift surgeon must achieve consistently excellent results with reasonably little downtime while being aware of methods to improve the safety of this popular elective procedure. Hematoma is the most common complication after rhytidectomy with an incidence between 0.9% and 9%, with a higher incidence in males. Other potential complications include seroma, nerve injury, skin flap necrosis, siaolocele as a consequence of submandibular gland debulking, and skin flap rhytid and hairline distortion. This review aims to discuss safe, consistent, and reproducible methods to achieve success with facelift.

show abstract

“… 11 Ceravolo et al performed a myotomy at a similar height to that used by Guerrero-Santos et al but with a composite flap elevating the platysma far anterior at a location at the midpoint of the mandibular body, placing it 3 to 4 cm anterior to the SCM ( Figure 1 ). 12 …”

mentioning

confidence: 99%