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

Gassman, Andrew A. M.D.; Pezeshk, Ronnie M.D.; Scheuer, Jack F. III M.D.; Sieber, David A. M.D.; Campbell, Carrie F. M.D.; Rohrich, Rod J. M.D.

Plastic and Reconstructive Surgery: September 2017 - Volume 140 - Issue 3 - p 405e-414e
doi: 10.1097/PRS.0000000000003618
Cosmetic: Original Articles

Summary: Anatomical study has proven vital to the understanding and improvement of rejuvenation techniques of the face and neck. The microscopic septa responsible for individual facial fat compartments are also present in the neck. The authors’ anatomical studies of the neck, including supraplatysmal and subplatysmal elements, have influenced their surgical and nonsurgical techniques. Careful muscular resuspension and modification of both deep and superficial fat compartments can lead to impressive and lasting aesthetic outcomes. The authors present their algorithm and approach to both surgical and noninvasive methods for aesthetic neck contouring. The discussion contained here is augmented by video footage of injected, fresh cadaver dissection that highlights the anatomical relationships of neck fat compartments discussed in this article.

Philadelphia, Pa.; and Dallas, Texas

From the Department of Surgery, Division of Plastic Surgery, Temple University; and the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Received for publication June 17, 2016; accepted March 9, 2017.

Disclosure:The authors have no financial interests in this research project or in any of the techniques or equipment used in this study. Dr. Rohrich receives instrument royalties from Micrins Instructions and book royalties from Quality Medical Publishing.

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Rod J. Rohrich, M.D., Department of Plastic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, Texas 75390-9132

Copyright © 2017 by the American Society of Plastic Surgeons