In addition to a deep plane lift, generally, when correcting the neck area , which technique gives a better result? Lateral tightening or midline tightening the platysma muscle? what are the advantages or disadvantages of each one?
Answer: Best approach for necklift 90% of my neck lifts involve both the midline platysmaplasty, which is approached via an incision under the chin. Then during the facelift, an incision is made around the ears which gives access to the lateral part of the platysma, and this is always tightened. Unless the neck laxity is minimal, I usually suggest a platysmaplasty as that allows the best long term results for facial rejuvenation. The advantage is the best neck contouring and longevity of results, the disadvantage is another incision and techincally more surgery.
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Answer: Best approach for necklift 90% of my neck lifts involve both the midline platysmaplasty, which is approached via an incision under the chin. Then during the facelift, an incision is made around the ears which gives access to the lateral part of the platysma, and this is always tightened. Unless the neck laxity is minimal, I usually suggest a platysmaplasty as that allows the best long term results for facial rejuvenation. The advantage is the best neck contouring and longevity of results, the disadvantage is another incision and techincally more surgery.
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Answer: Tightening platysmal Thank you for your question;
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Answer: Tightening platysmal Thank you for your question;
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December 13, 2018
Answer: Platysma Tightening Thank you for the question. This issue is very controversial among plastic surgeon. Many surgeons only tighten the platysma in the mid-line, while others tighten it laterally. You should discuss this with your surgeon as to which option would be best for you. He/she might even recommend both, depending on your exam. The main disadvantage of the mid-line approach is the scar under the chin. Good luck.
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December 13, 2018
Answer: Platysma Tightening Thank you for the question. This issue is very controversial among plastic surgeon. Many surgeons only tighten the platysma in the mid-line, while others tighten it laterally. You should discuss this with your surgeon as to which option would be best for you. He/she might even recommend both, depending on your exam. The main disadvantage of the mid-line approach is the scar under the chin. Good luck.
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December 12, 2018
Answer: Neck-details,details,details.... The aging neck is a joy that all of us individually will endure, as gravity and laxity takes it's toll on the neck . As the neck anatomy varies slightly from patient to patient, all aging necks may require site specific approaches to address targeted issues with the neck of each patient. Generally speaking, the best solution for the aging neck involves a two prong approach to the neck, with tightening not only laterally, but also medially in the midline-which allows for a tremendous improvement in lax muscles of the anterior neck. Ideally this would be a permanent solution for neck issues, but as we age, the neck muscles that form bands in the anterior neck-become thin and may not be amenable to a great amount of tightening-and thus one common failure of neck lift surgery is that these anterior bands may recur...much to the chagrin of not only the patient, but also the surgeon. We as surgeons wish that the anatomy would tolerate big, long lasting sutures in these thin muscles-but occasionally the tissues will disappoint us-thus leading to a recurrence of the initial problem. Talk to your selected surgeon to discover what your options are for neck rejuvenation, and fingers crossed that your neck anatomy will allow a long lasting resolution of the issue. Good luck to you !!
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December 12, 2018
Answer: Neck-details,details,details.... The aging neck is a joy that all of us individually will endure, as gravity and laxity takes it's toll on the neck . As the neck anatomy varies slightly from patient to patient, all aging necks may require site specific approaches to address targeted issues with the neck of each patient. Generally speaking, the best solution for the aging neck involves a two prong approach to the neck, with tightening not only laterally, but also medially in the midline-which allows for a tremendous improvement in lax muscles of the anterior neck. Ideally this would be a permanent solution for neck issues, but as we age, the neck muscles that form bands in the anterior neck-become thin and may not be amenable to a great amount of tightening-and thus one common failure of neck lift surgery is that these anterior bands may recur...much to the chagrin of not only the patient, but also the surgeon. We as surgeons wish that the anatomy would tolerate big, long lasting sutures in these thin muscles-but occasionally the tissues will disappoint us-thus leading to a recurrence of the initial problem. Talk to your selected surgeon to discover what your options are for neck rejuvenation, and fingers crossed that your neck anatomy will allow a long lasting resolution of the issue. Good luck to you !!
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December 11, 2018
Answer: Platysma muscle correction (platysmaplasty) It will depend of the individual patient neck problem which area will need more tightening. In average face/neck lift patient with moderate to severe platysma muscle laxity and visible bands we would do both anterior and lateral platysma muscle plicaton. We do that approach in probably 80-90% of our face/neck lift patient. If only neck lift is performed tightening and manipulation of anterior portion of platysma muscle is performed.
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December 11, 2018
Answer: Platysma muscle correction (platysmaplasty) It will depend of the individual patient neck problem which area will need more tightening. In average face/neck lift patient with moderate to severe platysma muscle laxity and visible bands we would do both anterior and lateral platysma muscle plicaton. We do that approach in probably 80-90% of our face/neck lift patient. If only neck lift is performed tightening and manipulation of anterior portion of platysma muscle is performed.
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December 11, 2018
Answer: Both Think about it this way...the further away from which you pull an area, the less effect there is. So it makes sense that if the pull is just done laterally, the least amount of effect is seen in the midline. Plus, as tissues relax (which is inevitable), the midline which has the least amount of effect from a lateral pull will regress first to looseness. Doing both will give the maximal effect for the maximal time, and this has been true for all my cases
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December 11, 2018
Answer: Both Think about it this way...the further away from which you pull an area, the less effect there is. So it makes sense that if the pull is just done laterally, the least amount of effect is seen in the midline. Plus, as tissues relax (which is inevitable), the midline which has the least amount of effect from a lateral pull will regress first to looseness. Doing both will give the maximal effect for the maximal time, and this has been true for all my cases
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