Five-Step Neck Lift: Integrating Anatomy with Clinical Practice to Optimize Results

  title={Five-Step Neck Lift: Integrating Anatomy with Clinical Practice to Optimize Results},
  author={Kailash Narasimhan and James M. Stuzin and Rod J. Rohrich},
  journal={Plastic and Reconstructive Surgery},
Background: A harmonious and youthful appearing neckline is arguably the most vital aspect of a successful facial rejuveation. Without sound principles, the neck appears skeletonized, tethered, and hollow. The anatomical studies that the authors have performed regarding the neck, jowl, and subplatysmal elements have influenced the techniques that they now use. The authors’ approach modifies the classic techniques of the past, and seeks a nuanced approach to each patient by resuspension and… 

Innovative Surgical Approach Using a Mesh Sling for the Aging Neck

Current approaches for improvement of the aging neck do not fit all aging neck cases and are suitable for only a specific dominant element, so the author's novel approach is more predictable and is suitable for most cases regardless of the dominant part causing the aging.

Complete Platysma Transection in Neck Rejuvenation: A Critical Appraisal

Despite obtaining satisfactory results in most patients, this technique has several downsides: it is time consuming, there is the risk of iatrogenic deformities unless it is carried out precisely, the postoperative recovery is often very long, and there is a significant failure to maintain long-term correction.

A new concept in neck aging: "cervicofacial waist"

A new surgical facelift approach that has been performed on 444 consecutive patients since 2015 and involves an aggressive plication of the SMAS-platysma plus lateral traction, also by plication, of the platysma medial bands makes the cervicofacial definition clearer with important optimization of the desired aesthetic effects.

Anatomical and Clinical Implications of the Deep and Superficial Fat Compartments of the Neck

The authors present their algorithm and approach to both surgical and noninvasive methods for aesthetic neck contouring, and the microscopic septa responsible for individual facial fat compartments are also present in the neck.

Total Neck Rejuvenation, Harnessing the Platysma in the Lower Neck and Décolletage

Improvement in the rejuvenation of the lower neck and décolletage when compared to the pexy technique of the original Fogli/Labbé description is found.

Neck Lift My Way: An Update

  • J. Feldman
  • Medicine
    Plastic and reconstructive surgery
  • 2014
An approach to the surgical neck lift that aims for a maximum degree of control over the size, shape, and position of every anatomical feature of the neck that is negatively affecting its appearance is updated.

Hyoid Suspension Neck Lift

This technique is a simple, reproducible, teachable technique that enables surgeons to achieve results previously difficult to obtain in a single operation and produces reliable aesthetic and long lasting results.

Ten Tips Based on Anatomy and Design to Refine Face and Neck Lift Surgery

  • J. FreyB. Zide
  • Medicine
    Plastic and reconstructive surgery. Global open
  • 2020
Implementation of reproducible surgical techniques based on anatomy in face and neck lift procedures allows the surgeon to potentially decrease operative time and work towards minimizing post-operative edema while attaining aesthetic and natural results.

Secondary Neck Lift and the Importance of Midline Platysmaplasty: Review of 101 Cases.

Comment on this technique, given its similarity with the neck contouring approach, further enlightening the importance of open submental access and platysmaplasty, and its state that this technique provides long-lasting results.



Neck Rejuvenation Revisited

The authors created a simplified anatomic approach to the most common cervical deformities encountered in the patient seeking facial rejuvenation, which allows the surgeon to choose the appropriate treatments to achieve consistent and reliable results.

The Platysma Window: An Anatomically Safe, Efficient, and Easily Reproducible Approach to Neck Contour in the Face Lift

The platysma window can play a role in becoming a useful method available to surgeons when addressing neck contour in face lifting, and can augment a myriad of face-lifting techniques.

The Fat Compartments of the Face: Anatomy and Clinical Implications for Cosmetic Surgery

The concept of separate compartments of fat suggests that the face does not age as a confluent or composite mass and may be an additional factor in the etiology of soft-tissue malposition.

Corset Platysmaplasty

C Corset platysmaplasty is useful for all patients with visible paramedian muscle bands and all patients who would benefit from having a decussated upper neck Platysma opened for submuscular defatting, including patients with oblique, palpably firm necks that suggest a vertically short platysMA muscle or low-lying hyoid bone.

The Mandibular Septum: Anatomical Observations of the Jowls in Aging—Implications for Facial Rejuvenation

There are distinct overlapping subcutaneous fat compartments above and below the mandibular border that define jowl fat, and this anatomical relationship is similar to the temporal septa and cheek septum and suggests that facial rejuvenation should be performed in a site-specific manner.

The Individualized Component Face Lift: Developing a Systematic Approach to Facial Rejuvenation

Proper preoperative analysis for evaluating facial shape should address facial height, facial width, and overall distribution/location of facial fullness, which can aid in formulating a comprehensive treatment plan.

MOC-PS(SM) CME Article: Face Lifting

  • J. Stuzin
  • Medicine
    Plastic and reconstructive surgery
  • 2008
Surgical rejuvenation of the aging face has evolved into one of the most frequently performed cosmetic surgery procedures and an appreciation of the technical nuances required to reposition descended soft tissues toward the anatomical position of youth is obtained.

The Retaining System of the Face: Histologic Evaluation of the Septal Boundaries of the Subcutaneous Fat Compartments

These findings support the concept that subcutaneous fat is compartmentalized, specifically by fascial condensations that travel from superficial fascia to dermis, which form an interconnecting framework that limits shearing forces on the face.

The Five-Step Lower Blepharoplasty: Blending the Eyelid-Cheek Junction

Aesthetic outcomes in lower lid blepharoplasty can be improved using a five-step technical sequence that addresses all of the anatomical findings.