Neck Rejuvenation Revisited

Rohrich, Rod J.; Ríos, Jose L.; Smith, Paul D.; Gutowski, K.A.

doi:10.1097/01.prs.0000209406.80690.9f

Cited by 132 publications

(92 citation statements)

References 20 publications

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“…One or more of these procedures may be required in any patient, depending on the characteristics which the patient and surgeon desire to achieve. Youthful characteristics of an attractive submental-cervical region include good skin elasticity, distinct inferior mandibular border, a submental-cervical angle within normal limits, adequate mandibular body length and chin projection and a high and posterior hyoid bone position [20].…”

Section: Discussionmentioning

confidence: 99%

Submental-Cervical Angle: Perceived Attractiveness and Threshold Values of Desire for Surgery

Naini

Cobourne

McDonald

et al. 2015

J. Maxillofac. Oral Surg.

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Aim The submental-cervical angle may alter as a result of mandibular orthognathic surgery and/or the ageing process and is therefore an important facial aesthetic parameter for comparative diagnosis and treatment planning. The purpose of this study was to undertake a quantitative evaluation of the influence of the submental-cervical angle on perceived attractiveness and threshold values of desire for surgery. Study Design The submental-cervical angle of an idealized profile silhouette image was altered incrementally between 90°and 130°. The images were rated on a sevenpoint Likert scale by pre-treatment orthognathic patients (n = 75), laypeople (n = 75), and clinicians (n = 35). Results A submental-cervical angle of 90°-105°was deemed acceptable. Angles up to 120°were deemed slightly unattractive by the lay and clinician groups, but very unattractive by the patient group. By 125°-130°all groups perceived the angle as very unattractive. The threshold value of desire for surgery was 110°for patients, 115°for lay people and 125°for clinicians. Patients appear to be more critical than lay and clinician groups. Conclusions These ranges of normal variability of the submental-cervical angle and threshold values of desire for surgery, in terms of observer acceptance, should be considered by clinicians in planning mandibular orthognathic surgery and aesthetic surgical procedures of the submentalcervical region.

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Section: Discussionmentioning

confidence: 99%

Submental-Cervical Angle: Perceived Attractiveness and Threshold Values of Desire for Surgery

Naini

Cobourne

McDonald

et al. 2015

J. Maxillofac. Oral Surg.

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“…In comparison, submental fullness is characterized by a rounded sternocleidomastoid-submental angle and an indistinct inferior mandibular border. 2,13,14 A series of injections with KYBELLA has proven to be an efficacious, nonsurgical way to rebuild the characteristics of the ideal submental profile.…”

Section: Clinician Injection Guidelinesmentioning

confidence: 99%

Noninvasive Submental Fat Compartment Treatment

Shamban¹

2016

Plastic and Reconstructive Surgery - Global Open

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Background:KYBELLA, ATX-101, is an injectable form of sodium deoxycholic acid. It is currently the only Food and Drug Administration–approved injectable drug for the reduction of submental fat.Objectives:A literature review and discussion of the treatment of submental fat.Results:KYBELLA is a well-tolerated alternative for the treatment of submental fat.Conclusions:KYBELLA is a safe and efficacious, first in class, injectable drug for the reduction of submental fat.

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“…Finally, Dedo stressed the need for correction of a retrusive chin and an awareness of the role that hyoid location plays in creating an unfavorable milieu for neck rejuvenation. More recently, McCollough, Rohrich, Matarasso, and others 32,33,34,35 have proposed classification systems that similarly categorize patients based on anatomy and degree of aging to assist in the selection of the appropriate technique for correction of the aging face and neck.…”

Section: Patient Evaluationmentioning

confidence: 99%

“…As noted above, Dedo, Kamer, and others have noted the importance of treating the platysma to achieve rejuvenation of the neck. 31,33,38 Additionally, a wide diastasis of the platysma can lead to ptosis of the underlying structures in the anterior midline neck. Finally, the platysma can be attenuated to varying degrees as it ascends in the neck and this should be kept in mind when performing liposuction.…”

Section: Instrumentationmentioning

confidence: 99%