A Novel Extended Deep Plane Facelift Technique for Jawline Rejuvenation and Volumization

Jacono, Andrew A.; Bryant, Lucas M.; Ahmedli, Nigar

doi:10.1093/asj/sjy292

Cited by 37 publications

(32 citation statements)

References 32 publications

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“…By lysing the cervical retaining ligaments more advancement and a more posterior suspension site to include the mastoid periosteum is possible. 18 In the patient without an effective decussation of the medial platysma, the author found that platysma bands may again become visible.…”

Section: Posterior Suspensionmentioning

confidence: 99%

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Another Look at Platysmaplasty in Facelifting

Fedok

2020

Facial Plast Surg

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Over the history of facial rejuvenation surgery there has been a progressive assimilation of knowledge about the anatomy of neck structures that are central to the manifestations of the aging neck. These advances in knowledge have been accompanied by the innovation and introduction of several surgical techniques to restore the neck to a more youthful appearance. The rejuvenation of the aging neck frequently incorporates a consideration and execution of accepted methods to restore the platysma muscles to a more aesthetic form. Lasting and dependable surgical techniques remain somewhat elusive and late failures in the neck continue to be a frustration for both patients and surgeons.In this manuscript, the author reviews some of the more enduring and innovative methods to manage the platysma in facelifting and cites the rationale and limitations of the various techniques. The concept of the restoration of an effective platysma “sling” in the upper neck to eliminate platysma bands and recreate a defined jawline is highlighted. A framework of patient evaluation and decision making is presented, and a suggested individualized application of accepted surgical maneuvers is suggested.

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Section: Posterior Suspensionmentioning

confidence: 99%

“…25 After the myotomy is performed, the distal platysma muscle flap below the myotomy is advanced posteriorly to or beyond the platysma-auricular ligament and sutured into the sternocleidomastoid muscle insertion at the mastoid. 18 It is important Fig. 6 Drawing of anterior platysmaplasty.…”

Section: Patient Evaluationmentioning

confidence: 99%

Another Look at Platysmaplasty in Facelifting

Fedok

2020

Facial Plast Surg

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“…With aging, the cervical spine shortens through compression of vertebral bodies and intervertebral discs, displacing downward the hyoid bone and deep neck soft tissue structures and increasing submental fullness through protrusion of subplatysmal fat, digastric muscles, and submandibular glands [14] . Additionally, the mandible experiences bone resorption and narrowing in both length and width, predisposing to lower facial soft tissue descent and effacement of the inferior mandibular border [11,20] .…”

Section: Skeletal Supportmentioning

confidence: 99%

“…In the absence of microgenia, however, placing a chin implant may actually create an unnatural appearance and should be avoided [1] . A deficient mandibular border can be augmented with fillers, such hyaluronic acid or calcium hydroxylapatite, autologous fat grafting or tissue flaps, and prosthetic implants [20] . For patients with a caudally positioned hyoid bone, the peri-hyoid fascial attachments to the bone may be released in order to allow the latter to migrate superoposteriorly to both deepen and sharpen the cervicomental angle [19,32,37] .…”

Section: A B C Dmentioning

confidence: 99%

A layered approach to neck lift

Weinstein¹,

Nahai²

2021

PAR

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Neck aesthetics are a vital and indispensable component of cervicofacial beauty. Cosmetic deformities may be due to congenital or acquired etiologies and successful management depends on accurately diagnosing the underlying anatomical problems and applying the appropriate surgical and non-surgical procedures to achieve the desired result. For clinical evaluation and treatment, neck anatomy may be conceptualized into three layers wherein the superficial layer consists of the skin and subcutaneous fat, the intermediate layer of platysma muscle and interplatysmal fat, and the deep layer of subplatysmal fat, digastric muscles, submandibular glands, and skeletal support structures. The goal of this article is to review neck aesthetics, cosmetic deformities, and indications for different treatment techniques by way of a systematic layered approach.

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“…To optimally correct the jowl and the prejowl sulcus, a facelift technique has to be used that will reposition the midface and lift the jowl containing portion of the superficial musculoaponeurotic system (SMAS). This will improve both the lower face and the neck [28][29][30] (►Fig. 7).…”

Section: Soft Tissue Repositioningmentioning

confidence: 99%

The Rejuvenation of the Aged Central Lower Face: A Contemporary Perspective

Fedok

2019

Facial plast Surg

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Aging of the central face is typified by several common characteristics such as generalized volume loss, the appearance of a mental crease and marionette lines, thinning of the lips, and fixed and dynamic rhytids. These result from several processes such as atrophy of adipose and bone, changes in the support of the mandibular septum, and a loss of skin elasticity. There are many methods available for the improvement and rejuvenation of this facial anatomical area. Options include traditional surgical techniques, the application of volume and the use of laser, light, and energy-based devices. The recent application of biological interventions offers the possibility of cellular-based therapies to usher in a new era of true tissue regeneration. Optimal correction of the abnormalities may be accomplished through an understanding and identification of the causes of the observed abnormalities and targeting with the best available intervention. There are a growing number of techniques and technologies to accomplish this.

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A Novel Extended Deep Plane Facelift Technique for Jawline Rejuvenation and Volumization

Cited by 37 publications

References 32 publications

Another Look at Platysmaplasty in Facelifting

Another Look at Platysmaplasty in Facelifting

A layered approach to neck lift

The Rejuvenation of the Aged Central Lower Face: A Contemporary Perspective

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