Contralateral Platysma Suspension

Different Faces: Different Facelift Techniques

“…The SMAS has been described as co-essentially the same anatomic layer as the platysma muscle inferiorly in the neck. 5,12 Both SMAS and platysma are invested by cervical fascia. The SMAS starts over the parotid fascia laterally on the face and its medial extension has been the subject of anatomic interest.…”

Managing the Neck in the Era of the Short Scar Face-Lift

“…It is a continuation of the SMAS from the face and is invested on both sides by the superficial cervical fascia. 15 There are three anatomic variations pertaining to its decussation pattern in the submental area that contribute to definition of the submental neck contour at the level of the hyoid bone. In 10% of the population, there is a close approximation between the two bellies of the platysma, but no decussation; in nearly 75% of the population, the muscles have a partial decussation in the midline; in the other 15% of the population, a total decussation from mandible to hyoid is present between the two bellies of the platysma.…”

“…Either an interrupted or a running locking 2-0 absorbable suture is then used to suture the medial borders of the opposing muscles to each other (►Figs. 15,16). However, if the medial borders of the platysma muscle are separated by more than 2 cm, a corset platysmaplasty will be difficult, and a partial transection of the medial edges of platysma is performed at the level of thyroid cartilage.…”

“…Acceptable contemporary techniques for rejuvenation of the aging neck include partial platysma muscle sections, corset platysmaplasty, Z-plasty techniques, platysma resections, and lateral or medial plications of the platysma. 6,[10][11][12][13][14][15] Additionally, although rhytidectomy had been evolving to include more extensive dissections, there has been a recent shift in a more conservative minimally invasive direction.…”