Aesthet Surg J. 2023 Dec 6:sjad362. doi: 10.1093/asj/sjad362. Online ahead of print.
ABSTRACT
BACKGROUND: As the prevalence of neck lift surgeries increases, the field is continually enriched by evolving techniques for enhancing neck aesthetics. While many recent publications focus on deep neck procedures, it is essential not to overlook the significance of platysmal contouring as an integral aspect of neck rejuvenation surgery. Accordingly, we would like to elucidate our unique approach to contouring the platysma.
OBJECTIVES: This study was designed to assess the efficacy of the progressive contouring concept, a technique wherein the neck is reshaped using barbed sutures synergistically with other treatment strategies.
METHODS: Our study encompassed 337 patients who received neck rejuvenation treatment using the progressive contouring concept from 2014 to 2021. We conducted a retrospective review to evaluate the change in cervicomental angle (CMA) using Mirror software during the preoperative and postoperative stages.
RESULTS: The study sample predominantly comprised females (304 out of 337), with a median age of 61 years (24-88). Most patients (95%) underwent deep cervicoplasty, with a surgical net used in all cases for skin adaptation. After a median follow-up of 14 months, significant improvements were observed in CMA values (reducing from 149.8° to 106.7°). This demonstrated statistically significant differences when comparing preoperative and postoperative outcomes.
CONCLUSIONS: Progressive shaping of the neck with barbed sutures is an effective technique in neck rejuvenation. It utilizes multipoint and multi-vector plication, particularly when integrated with other adjunctive surgical maneuvers.
PMID:38055921 | DOI:10.1093/asj/sjad362
