A woman relaxing at home with blonde hair

Contouring the neck in rhytidectomy by lipectomy and a muscle sling

To improve neck contour during a face lift, the author removes neck fat and adds deep support with a sling made from full-width platysma muscle flaps.

Connell BF. Plastic and reconstructive surgery, 1978.

What it means for a patient

  • A neck that looks full or loose can have more than one cause. The surgeon should identify the cause before choosing what to remove or tighten.
  • This method treats the neck with two steps: fat removal and a supporting sling built from the platysma, the thin muscle sheet of the neck.
  • The platysma is used across its full width to support the neck from underneath the skin.
  • Limits: the abstract describes one surgeon's method and gives no outcome data.

Why this paper matters

It describes neck contouring in face lift surgery as fat removal combined with deep muscle support from the platysma, chosen after diagnosing the cause of the contour problem. The abstract does not report results.

Overview

The paper addresses how to correct an unattractive neck contour as part of rhytidectomy. The author states that the cause of the contour problem must be diagnosed accurately before choosing the surgical technique. The abstract is two sentences long and describes the method only; it does not report how many patients were treated or their results.

Findings

  • Accurate diagnosis of the cause of neck contour problems is necessary to choose an appropriate technique.
  • For improving neck contour, the author uses an adequate lipectomy.
  • The lipectomy is combined with deep support from a sling made of full-width platysma muscle flaps.
  • The abstract reports no patient numbers, follow-up or complication data.

Terms

  • Rhytidectomy: a face lift; surgery to tighten sagging skin and deeper tissue of the face and neck.
  • Lipectomy: surgical removal of fat.
  • Platysma: the thin, flat muscle sheet that runs from the jaw down the front of the neck.
  • Muscle flap: a section of muscle freed and moved while still attached at one end with its blood supply.
  • Muscle sling: a band of muscle placed to hold up the tissue above it.
  • Neck contour: the shape of the neck and jawline seen in profile.

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