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?
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 !!
Helpful
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 !!
Helpful
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.
Helpful
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.
Helpful
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
Helpful
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
Helpful
