Vertical Neck Lifting - 18/04/14

Doi : 10.1016/j.fsc.2014.01.006

Andrew A. Jacono, MD ^a,^b,^c,^d,^⁎ , Benjamin Talei, MD ^d,^e
^a Facial Plastic and Reconstructive Surgery, North Shore University Hospital, Community Drive, Manhasset, NY 11030, USA
^b Facial Plastic Surgery, The New York Eye and Ear Infirmary, E 14th Street, New York, NY 10009, USA
^c Department of Otorhinolaryngology, Head and Neck Surgery, The Albert Einstein College of Medicine, Morris Park Ave, Bronx, NY 10461, USA
^d Facial Plastic Surgery, The New York Center for Facial Plastic and Laser Surgery, 5th Avenue, New York, NY 10075, USA
^e Facial Plastic Surgery, The Beverly Hills Center for Plastic and Laser Surgery, Beverly Hills, CA 90210, USA

^∗Corresponding author. Facial Plastic and Reconstructive Surgery, North Shore University Hospital, Manhasset, NY 11030.

Résumé

The authors' vertical neck lifting procedure is an extended deep plane facelift, which elevates the skin and SMAS-platysma complex as a composite unit. The goal is to redrape cervicomental laxity vertically onto the face rather than laterally and postauricularly. The authors consider this an extended technique because it lengthens the deep plane flap from the angle of the mandible into the neck to release the cervical retaining ligaments that limit platysmal redraping. This technique does not routinely use midline platysmal surgery because it counteracts the extent of vertical redraping. A majority of aging face patients are good candidates for this procedure in isolation, but indications for combining vertical neck lifting with submental surgery are elucidated.

Le texte complet de cet article est disponible en PDF.

Keywords : Vertical neck lift, Facelift, Rhytidectomy, Deep plane facelift, Platysmaplasty, SMAS, Vertical facelift, Zygomatic cutaneous ligaments