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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 M.D.; Angelini, Matteo M.D.; Silvi, Erminia M.D.

Plastic & Reconstructive Surgery: February 2017 - Volume 139 - Issue 2 - p 308–321
doi: 10.1097/PRS.0000000000003030
Cosmetic: Original Articles
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Discussion

Background: A high rate of recurrence of anterior platysma bands and anterior skin laxity was reported at the 1-year follow-up of 150 patients who underwent complete neck undermining and full-width platysma transection for neck rejuvenation. The authors propose a new technique—lateral skin-platysma displacement—to treat these two aesthetic problems using only a lateral approach to avoid “opening” the anterior neck. The authors’ objective was to compare outcomes following full-width platysma transection technique and lateral skin-platysma displacement technique in terms of patient satisfaction, complications, and long-term effectiveness in the treatment of bands and anterior skin laxity.

Methods: A prospective study was carried out on 100 patients. All patients were operated on by the senior surgeon (M.P.C.). Patient questionnaires were used to assess their levels of satisfaction.

Results: Patient satisfaction was extremely high following both techniques. Successful correction of bands at 1 year was observed in 83.5 percent of the lateral skin-platysma displacement patients and 56 percent of the full platysma section patients. Regarding recurrent skin laxity, 68 percent of those who underwent lateral skin-platysma displacement did not show any obvious recurrence of excess skin at 1 year compared with 52 percent of the full platysma section group. Prolonged edema was the main complication and was considerably more frequent in the patients undergoing complete neck undermining.

Conclusions: The 1-year patient satisfaction ratings were higher for those treated with the lateral skin-platysma displacement technique. The lateral skin-platysma displacement technique has proved to have a much shorter recovery and better outcomes in the correction of platysma bands and of the anterior neck skin laxity.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Rome, Italy

From the University of Padua; and private practice.

Received for publication June 1, 2016; accepted July 26, 2016.

Disclosure: The authors have no commercial associations or financial disclosures that might pose or create a conflict of interest with information presented in this article. No funding was received for the work presented in this article.

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Mario Pelle-Ceravolo, M.D., University of Padua, 35, Via Giovanni Severano, 00161 Rome, Italy, mario.pelleceravolo@live.it

©2017American Society of Plastic Surgeons