Surgical Treatment of the Heavy Face and Neck

Biplanar Superficial Musculoaponeurotic System Imbrication Rhytidectomy

“…The ideal neck can be defined as a neck with a sharp mandibular border that creates a shadowing effect, an acute cervicomental angle of 105 to 120 degrees, distinct sternocleidomastoid borders, a flat and taught submandibular triangle, a slight depression below hyoid, visible thyroid cartilage, and a strong well-contoured chin. 12,13 On the basis of over 25 years of clinical and surgical experience, a biplane SMAS imbrication rhytidectomy provides a natural, unstretched, and refreshed appearance resulting in high patient satisfaction. While the extent of dissection and management of the platysma ultimately depends on patient characteristics, the extent of subcutaneous, sub-SMAS, and neck dissection minimizes patient complications and allows a relatively rapid recovery.…”