Purse-string platysmaplasty: the third dimension for neck contouring.

Title

Purse-string platysmaplasty: the third dimension for neck contouring.

Creator

Gentile Richard D

Publisher

Facial plastic surgery : FPS

Date

2005
2005-11

Description

Techniques and concepts for treatment of the aging neck have been evolving since the late 1960s and rely on two-dimensional anterior approximation with lateral imbrication of the platysma with or without submental fat reduction, However, the medial approximation can sometimes give a "boxy" appearance to the anterior neck, especially if anterior shifting of the platysma recurs after platysmaplasty with laxity redeveloping in this midline location. The "purse-string" platysmaplasty (PSP) is a new concept in neck contouring that facilitates an enhanced definition for the cervicomandibular transition to better simulate the well-defined contour of this transition that is present in youth. It aids in the contouring of difficult poorly defined necks and in male patients. The PSP adds a "third dimension" to neck recontouring by invaginating the platysma with a plication suture and pexing the platysma, without incising it, to deeper neck fascia with a technique that adds support and definition to the neck contour. The PSP can be performed in patients undergoing a full rhytidectomy as well as in individuals having isolated neck rejuvenation. The PSP is especially helpful in rejuvenating the male lower face and neck because of the relatively heavier deeper structures of the male neck and the need to enhance definition along the jawline.

Subject

Aged; Cervicoplasty/adverse effects/*methods; Female; Humans; Male; Middle Aged; Neck/*anatomy & histology; Rhytidoplasty/adverse effects/*methods; Skin Aging; Treatment Outcome

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

296–303

Issue

4

Volume

21

Citation

Gentile Richard D, “Purse-string platysmaplasty: the third dimension for neck contouring.,” NEOMED Bibliography Database, accessed January 27, 2022, https://neomed.omeka.net/items/show/4046.

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