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Lin, Samuel J. et al.: 2024 Neck Rejuvenation DOI: 10.1055/b-0044-201782

2 Neck Rejuvenation: Evaluation and Management

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Editors: Lin, Samuel J.; Slavin, Sumner A.; Tandon, Vickram J.

Authors: Angelini, Matteo A.; Cunha Araujo, Marcelo; Barrios, Esther; Bellamy, Justin; Boustany, Ashley N.; Chia, Christopher T.; Citarella, Enzo R.; Condé-Green, Alexandra; Couto, Rafael A.; Dayan, Erez; Dover, Jeffrey S.; Ebersole, Trina G.; Foppiani, Jose A.; Gould, Daniel J.; Grover, Ritwik; Grow, Jacob N.; Janne Hasbun, Samir; Hogan, Sara R.; Hurwitz, Dennis J.; Kaminer, Michael S.; Kaminer, Michael S.; Kochuba, Andrew L.; Maia, Munique; Matarasso, Alan; Nassar, Amer H.; Nicholas, Mathew N.; Piña, Jeremie O.; Pelle-Ceravolo, Mario; Rodriguez-Unda, Nelson A.; Rohrich, Rod J.; Sinder, Ramil; Sterodimas, Aris; Talei, Benjamin; Ziai, Hedyeh; Zins, James E.

Title: Neck Rejuvenation

Subtitle: Surgical and Nonsurgical Techniques

Print ISBN: 9781626239630; Online ISBN: 9781684202850; Book DOI: 10.1055/b000000386

1. Edition © 2024. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York

Subjects: Plastic, Reconstructive and Cosmetic Surgery

Thieme Clinical Collections (English Language)



 
Jose Foppiani and Samuel J. Lin

Abstract

This chapter thoroughly discusses surgical and nonsurgical modalities of treatment of neck rejuvenation. It highlights the aesthetics of the neck as well as its evaluation and how that evaluation can guide the choice of therapy for the patient. There is a vast array of old and new treatment options in this growing realm of cosmetic surgery, and an attempt to present them holistically is provided in this chapter. These include various minimally invasive procedures such as the use of injectables and lasers, as well as surgical procedures such as suction lipectomy and neck lifts. Granularities exist between and within procedures, and this chapter explores these in detail to highlight the indications, techniques, complications, and excepted results of each technique. Ultimately, patients with minimal excess skin but an excess of preplatysmal submental fat are indicated to undergo nonsurgical procedures. In contrast, patients with excess skin or significant platysmal banding should undergo a surgical approach tailored to their characteristics. As neck rejuvenation grows in popularity, aesthetic surgeons have the chance to personalize treatment for their patients to ensure exceptional results with minor complications.

Key words

aesthetics of the neck - neck rejuvenation - surgical and nonsurgical intervention - complications - postoperative care
 
  • 1 Plastic Surgery Statistics Report. Statistics Report. 2020:5. Accessed August 30, 2021 at: https://www.plasticsurgery.org/documents/News/Statistics/2020/plastic-surgery-statistics-full-report-2020.pdf
  • 2 The International Society of Aesthetic Plastic Surgery. ISAP International Study on Aesthetics/Cosmetic Procedures Performed in 2017. Mount Royal, NJ: The International Society of Aesthetic Plastic Surgery; 2017
  • 3 Roger S. Beauty: A Very Short Introduction. New York, NY: Oxford University Press; 2009
  • 5 Givhan R, Morales HR. The idea of beauty is always shifting. Today, it’s more inclusive than ever.. Natl Geogr Mag 2020; February: 2020
    Google Scholar
  • 6 Shaye DA. The science of art: Leonardo Da Vinci and facial plastic surgery.. Curr Opin Otolaryngol Head Neck Surg 2020; 28 (4) 195-200 PubMed (PMID: 32628412)
    Google Scholar
  • 7 Harrar H, Myers S, Ghanem AM. Art or science? An evidence-based approach to human facial beauty a quantitative analysis towards an informed clinical aesthetic practice.. Aesthetic Plast Surg 2018; 42 (1) 137-146 PubMed (PMID: 29313062)
    Google Scholar
  • 8 Danikas D, Panagopoulos G. The golden ratio and proportions of beauty.. Plast Reconstr Surg 2004; 114 (4) 1009 PubMed (PMID: 15468417)
    Google Scholar
  • 9 Mlacker S, Shah VV, Aldahan AS, McNamara CA, Alsaidan M, Nouri K. The golden ratio of beauty: a hidden treasure.. JAMA Dermatol 2016; 152 (7) 828 PubMed (PMID: 27409051)
    Google Scholar
  • 10 Singh P, Vijayan R, Mosahebi A. The golden ratio and aesthetic surgery.. Aesthet Surg J 2019; 39 (1) NP4-NP5 PubMed (PMID: 30289436)
    Google Scholar
  • 11 Ellenbogen R, Karlin JV. Visual criteria for success in restoring the youthful neck.. Plast Reconstr Surg 1980; 66 (6) 826-837 PubMed (PMID: 7443846)
    Google Scholar
  • 12 Lund H. Essentials of aesthetic surgery.. Aesthet Surg J 2018; 39 (2) NP23-NP25 (PMID: NOT_FOUND)
    Google Scholar
  • 13 Nkengne A, Bertin C. Aging and facial changes—documenting clinical signs, part 1: clinical changes of the aging face.. Skinmed 2012; 10 (5) 284-289 PubMed (PMID: 23163070)
    Google Scholar
  • 14 Zimbler MS, Kokoska MS, Thomas JR. Anatomy and pathophysiology of facial aging.. Facial Plast Surg Clin North Am 2001; 9 (2) 179-187, vii PubMed (PMID: 11457684)
    Google Scholar
  • 15 Boyd CM. Approaches to the aging face in African American patients.. Facial Plast Surg Clin North Am 2002; 10 (4) 377-380 PubMed (PMID: 15062298)
    Google Scholar
  • 16 Sykes JM. Management of the aging face in the Asian patient.. Facial Plast Surg Clin North Am 2007; 15 (3) 353-360, vi–vii PubMed (PMID: 17658431)
    Google Scholar
  • 17 Vistnes LM, Souther SG. The anatomical basis for common cosmetic anterior neck deformities.. Ann Plast Surg 1979; 2 (5) 381-388 PubMed (PMID: 543601)
    Google Scholar
  • 18 Khoo C. The art of aesthetic surgery: principles and techniques.. Ann R Coll Surg Engl 2007; 89 (5) 558 PubMed (PMID: NOT_FOUND)
    Google Scholar
  • 19 Freshwater MF. A critical comparison of Davis’ principles of plastic surgery with Gillies’ plastic surgery of the face.. J Plast Reconstr Aesthet Surg 2011; 64 (1) 17-26 PubMed (PMID: 20356811)
    Google Scholar
  • 20 Humphrey S, Manson Brown S, Cross SJ, Mehta R. defining skin quality: clinical relevance, terminology, and assessment.. Dermatol Surg 2021; 47 (7) 974-981 PubMed (PMID: 34148998)
    Google Scholar
  • 21 Mejia JD, Nahai FR, Nahai F, Momoh AO. Isolated management of the aging neck.. Semin Plast Surg 2009; 23 (4) 264-273 PubMed (PMID: 21037862)
    Google Scholar
  • 22 Weinstein AL, Nahai F. A layered approach to neck lift.. Plast Aesthet Res 2021; 8: 11 (PMID: NOT_FOUND)
    Google Scholar
  • 23 Brandt FS, Bellman B. Cosmetic use of botulinum A exotoxin for the aging neck.. Dermatol Surg 1998; 24 (11) 1232-1234 PubMed (PMID: 9834744)
    Google Scholar
  • 24 Kane MA. Nonsurgical treatment of platysmal bands with injection of botulinum toxin A.. Plast Reconstr Surg 1999; 103 (2) 656-663, discussion 664–665 PubMed (PMID: 9950557)
    Google Scholar
  • 25 Wu WTL. Microbotox of the lower face and neck: evolution of a personal technique and its clinical effects.. Plast Reconstr Surg 2015; 136 (5) (Suppl. Suppl) 92S-100S PubMed (PMID: 26441119)
    Google Scholar
  • 26 Awaida CJ, Jabbour SF, Rayess YA, El Khoury JS, Kechichian EG, Nasr MW. Evaluation of the microbotox technique: an algorithmic approach for lower face and neck rejuvenation and a crossover clinical trial.. Plast Reconstr Surg 2018; 142 (3) 640-649 PubMed (PMID: 29879010)
    Google Scholar
  • 27 Sclafani AP, Kwak E. Alternative management of the aging jawline and neck.. Facial Plast Surg 2005; 21 (1) 47-54 PubMed (PMID: 15988656)
    Google Scholar
  • 28 Sundaram H, Signorini M, Liew S, et al. Global aesthetics consensus: botulinum toxin type A: evidence-based review, emerging concepts, and consensus recommendations for aesthetic use, including updates on complications.. Plast Reconstr Surg 2016; 137 (3) 518e-529e PubMed (PMID: 26910696)
    Google Scholar
  • 29 Oni G, Hoxworth R, Teotia S, Brown S, Kenkel JM. Evaluation of a microfocused ultrasound system for improving skin laxity and tightening in the lower face.. Aesthet Surg J 2014; 34 (7) 1099-1110 PubMed (PMID: 24990884)
    Google Scholar
  • 30 Shome D, Vadera S, Ram MS, Khare S, Kapoor R. Use of micro-focused ultrasound for skin tightening of mid and lower face.. Plast Reconstr Surg Glob Open 2019; 7 (12) e2498 PubMed (PMID: 32537285)
    Google Scholar
  • 31 Thomas WW, Bloom JD. Neck contouring and treatment of submental adiposity.. J Drugs Dermatol 2017; 16 (1) 54-57 PubMed (PMID: 28095533)
    Google Scholar
  • 32 McDiarmid J, Ruiz JB, Lee D, Lippert S, Hartisch C, Havlickova B. Results from a pooled analysis of two European, randomized, placebo-controlled, phase 3 studies of ATX-101 for the pharmacologic reduction of excess submental fat.. Aesthetic Plast Surg 2014; 38 (5) 849-860 PubMed (PMID: 24984785)
    Google Scholar
  • 33 Cai J, Wang J, Hu W, Lu F. Mechanical micronization of lipoaspirates for the treatment of horizontal neck lines.. Plast Reconstr Surg 2020; 145 (2) 345-353 PubMed (PMID: 31985619)
    Google Scholar
  • 35 Rohrich RJ, Beran SJ, Kenkel JM, Adams Jr WP, DiSpaltro F. Extending the role of liposuction in body contouring with ultrasound-assisted liposuction.. Plast Reconstr Surg 1998; 101 (4) 1090-1102, discussion 1117–1119 PubMed (PMID: 9514347)
    Google Scholar
  • 36 Collins PS, Moyer KE. Evidence-based practice in liposuction.. Ann Plast Surg 2018; 80 (6S) (Suppl. Suppl 6) S403-S405 PubMed (PMID: 29369106)
    Google Scholar
  • 37 Chia CT, Marte JA, Ulvila DD, Theodorou SJ. Second generation radiofrequency body contouring device: safety and efficacy in 300 local anesthesia liposuction cases.. Plast Reconstr Surg Glob Open 2020; 8 (9) e3113 PubMed (PMID: 33133962)
    Google Scholar
  • 39 Zins JE, Fardo D. The “anterior-only” approach to neck rejuvenation: an alternative to face lift surgery.. Plast Reconstr Surg 2005; 115 (6) 1761-1768 PubMed (PMID: 15861088)
    Google Scholar
  • 40 Marten T, Elyassnia D. Management of the platysma in neck lift.. Clin Plast Surg 2018; 45 (4) 555-570 PubMed (PMID: 30268242)
    Google Scholar
  • 41 Bravo FG. Reduction neck lift: the importance of the deep structures of the neck to the successful neck lift.. Clin Plast Surg 2018; 45 (4) 485-506 PubMed (PMID: 30268239)
    Google Scholar
  • 42 Muenscher A, Dalchow C, Kutta H, Knecht R. The endoscopic approach to the neck: a review of the literature, and overview of the various techniques.. Surg Endosc 2011; 25 (5) 1358-1363 PubMed (PMID: 21136119)
    Google Scholar
  • 43 Marten T, Elyassnia D. Short scar neck lift: neck lift using a submental incision only.. Clin Plast Surg 2018; 45 (4) 585-600 PubMed (PMID: 30268244)
    Google Scholar
  • 45 Antell DE, May JM, Bonnano MJ, Lee NY. A comparison of the full and short-scar face-lift incision techniques in multiple sets of identical twins.. Plast Reconstr Surg 2016; 137 (6) 1707-1714 PubMed (PMID: 26890507)
    Google Scholar
  • 46 Barbarino SC, Wu AY, Morrow DM. Isolated neck-lifting procedure: isolated stork lift.. Aesthetic Plast Surg 2013; 37 (2) 205-209 PubMed (PMID: 23307054)
    Google Scholar
  • 47 Cronin TD, Biggs TM. The T-Z-plasty for the male “turkey gobbler” neck.. Plast Reconstr Surg 1971; 47 (6) 534-538 PubMed (PMID: 4932575)
    Google Scholar
  • 48 Lee H, Yoon K, Lee M. Outcome of facial rejuvenation with polydioxanone thread for Asians.. J Cosmet Laser Ther 2018; 20 (3) 189-192 PubMed (PMID: 29271683)
    Google Scholar
  • 50 Le Louarn C. Hyo-neck lift evolution: neck lift with fixation of the platysma to the deep cervical fascia.. Ann Chir Plast Esthet 2018; 63 (2) 164-174 PubMed (PMID: 29292051)
    Google Scholar
  • 51 Connell BF, Shamoun JM. The significance of digastric muscle contouring for rejuvenation of the submental area of the face.. Plast Reconstr Surg 1997; 99 (6) 1586-1590 PubMed (PMID: 9145126)
    Google Scholar