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Platysma Suspension and Platysmaplasty during Neck Lift: Anatomical Study and Analysis of 30 Cases

Labbé, Daniel M.D.; Franco, R G. M.D.; Nicolas, J M.D.

Plastic and Reconstructive Surgery: May 2006 - Volume 117 - Issue 6 - p 2001-2007
doi: 10.1097/01.prs.0000218972.75144.9c
RECONSTRUCTIVE: HEAD AND NECK: ORIGINAL ARTICLES
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Background: The authors developed a technique for the treatment of the cervical area during face lifts. The authors called this technique platysma suspension and platysmaplasty rather than plication.

Methods: After an anatomical study on 10 corpses on which the authors tested the various platysma suspension techniques, they carried out platysma suspension associated with platysmaplasty in 30 patients.

Results: This technique consists of suspending the free edge of the platysma muscle and fixing it to a resistant tissue close to the earlobe (Loré’s fascia or tympanoparotid fascia). The anterior triangle of the neck was well defined, and there was no need to undermine the platysma muscle because of a perfect sliding plane between the platysma and sternocleidomastoid muscles.

Conclusions: This technique is both simple and effective. It generates long-lasting results, without the inconveniences or complications associated with other techniques.

Caen, France; and São Paulo, Brazil

Received for publication May 27, 2004; revised December 1, 2004.

Presented at the 48th Congress of the French Society of Plastic Surgery, in Paris, France, November of 2003.

Readers may also refer to the online version of the article at the Journal’s Web site (www.plasreconsurg.org) for additional materials.

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Daniel Labbé, 4 place Fontette, 14000 Caen, France, dr.labbe@wanadoo.fr

©2006American Society of Plastic Surgeons