Abstract
There are several classification schemes, including that of the authors’, which one can use to categorize a patient’s neck for surgical rejuvenation. This chapter describes facial anatomy, and discusses liposuction techniques with patient assessment, tumescent anesthesia, and critical points for successful liposuction. Chin implantation, submentoplasty, and dealing with the visible submandibular gland are also covered and the complications discussed. While rhytidectomy has traditionally been the cornerstone technique that has been used to achieve this goal, there are many cases where submentoplasty or liposuction is appropriate as stand-alone procedures. When used in the appropriate patient they are truly minimally invasive and yet can provide spectacular results with minimal downtime.
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References
Bourguet J. La chirugie esthetique de la face: Les rides. Monde Med, 15 Jan 1928.
Aufricht G. Surgery for excess skin of the face. In: Transactions of the second international congress of plastic surgery. Edinburgh: E & S Livingston; 1960. pp. 495–502.
Connell BF. Neck contour deformities: the art, engineering, anatomic diagnosis, architectural planning, and aesthetics of surgical correction. Clin Plast Surg. 1987;14(4):683–92.
Feldman JJ. Corset platysmaplasty. Plast Reconstr Surg. 1990;85(3):333–43.
Klein JA. The tumescent technique for liposuction surgery. Am J Cosmet Surg. 1987;4:263–7.
Courtiss E. Suction lipectomy of the neck. Plast Reconstr Surg. 1985;76(6):882–9.
Hodgkinson DJ. Clinical applications of radiofrequency: nonsurgical skin tightening (thermage). Clin Plast Surg. 2009;36(2):261–8.
Goldman A. Laser-assisted liposuction. Clin Plast Surg. 2009;36(2):241–53.
Sposito MM. New indications for botulinum toxin type A in cosmetics: mouth and neck. Plast Reconstr Surg. 2002;110:601–11.
Park SH, Kim DW, Lee MA, Yoo SC, Rhee SC, Koo SH, et al. Effectiveness of mesotherapy on body contouring. Plast Reconstr Surg. 2008;121(4):179e–85e.
Prado A, Andrades P, Danilla S, Leniz P, Castillo P, Gaete F. A prospective, randomized, double blind, controlled clinical trial comparing laser-assisted lipoplasty with suction-assisted lipoplasty. Plast Reconstr Surg. 2006;118(4):1032–45.
Matarasso A, Pfeifer TM. Mesotherapy and injection lipolysis. Clin Plast Surg. 2009;36(2):181–92.
Gryskiewicz J. Submental suction-assisted lipectomy without platysmaplasty: pushing the skin envelope to avoid a face lift for unsuitable candidates. Plast Reconstr Surg. 2003;112(5):1393–405.
Little JW. Treatment of the full obtuse neck (panel discussion). Aesthetic Surg J. 2005;25(4):397.
Ellenbogen R, Karlin JV. Visual criteria for success in restoring the youthful neck. Plast Reconstr Surg. 1980;66(6):826–37.
Dedo DD. “How I do it” plastic surgery. Practical suggestion on facial plastic surgery. A preoperative classification of the neck for cervicofacial rhytidectomy. Laryngoscope. 1980;90(11 Pt 1):1894–6.
de Castro CC. The anatomy of the platysma muscle. Plast Reconstr Surg. 1980;66(5):680–3.
Baker DC, Conley J. Avoiding facial nerve injuries in rhytidectomy: anatomical variations and pitfalls. Plast Reconstr Surg. 1979;64(6):781–95.
Dingman RO, Grabb WC. Surgical anatomy of the mandibular ramus of the facial nerve based on the dissection of 100 facial halves. Plast Reconstr Surg. 1962;29:266–72.
Liebman EP, Webster RC, Gaul JR, Griffin T. The marginal mandibular nerve in rhytidectomy and liposuction surgery. Arch Otolaryngol Head Neck Surg. 1988;104(2):179–81.
Larrabee WF, Makielski KH, Henderson JL. Surgical anatomy of the face. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 81–4.
Klein JA. Tumescent technique, tumescent anesthesia and microcannular liposuction. St. Louis: Mosby; 2000. p. 4–5.
Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction. J Dermatol Surg Oncol. 1990;16(3):248–63.
Klein JA. Tumescent technique, tumescent anesthesia and microcannular liposuction. St. Louis: Mosby; 2000. p. 30.
Klein JA. Tumescent technique, tumescent anesthesia and microcannular liposuction. St. Louis: Mosby; 2000. p. 131–40.
Rubin JP, Bierman C, Roscow CE, Arthur GR, Chang Y, Courtiss EH, et al. The tumescent technique: the effect of high tissue pressure and dilute epinephrine on absorption of lidocaine. Plast Reconstr Surg. 1999;103(3):990–6.
Hayashi Y, Sumikawa K, Maze M, Yamatodani A, Kamibayashi T, Kuro M, et al. Dexmedetomidine prevents epinephrine – induced arrhythmias through stimulation of central alpha-2 adrenoreceptors in halothane anesthetized dogs. Anesthesiology. 1991;75(1):113–17.
Klein JA. Tumescent technique, tumescent anesthesia and microcannular liposuction. St. Louis: Mosby; 2000. p. 126.
Bitner JB, Friedman O, Farrior RT, Cook TA. Direct submentoplasty for neck rejuvenation. Arch Facial Plast Surg. 2007;9(3):194–200.
Conrad K, Chapkik JS, Reifen E. e-PTFE (Gore-Tex) suspension cervical facial Rhytidectomy. Arch Otolaryngol Head Neck Surg. 1993;119(6):694–8.
Ramirez OM. Cervicoplasty: nonexcisional anterior approach. A 10-year follow-up. Plast Reconstr Surg. 2003;111(3):1342–5.
Giampapa VC. Suture suspension technique offers predictable, long lasting neck rejuvenation. Aesthetic Surg J. 2000;20:253.
Guyuron B, Jackowe D, Lamphongsai S. Basket submandibular gland suspension. Plast Reconstr Surg. 2008;122(3):938–43.
de Pompe Pina D, Castro Quinta W. Aesthetic resection of the submandibular gland. Plast Reconstr Surg. 1991;88(5):779–87.
Singer DP, Sullivan PK. Submandibular gland I: an anatomic evaluation and surgical approach to submandibular gland resection for facial rejuvenation. Plast Reconstr Surg. 2003;112(4):1150–4.
Barron R, Margulis A, Iceksen M, Zeltser R, Eldad A, Nahlieli O. Iatrogenic parotid sialocele following rhytidectomy: diagnosis and treatment. Plast Reconstr Surg. 2001;108(6):1782–4.
Department of Health and Human Services Centers for Disease Control and Prevention. Strategies for clinical management of MRSA in the community: summary of an Experts’ Meeting convened by the Centers for Disease Control and Prevention, 2006.
Baker DC, Stefani WA, Chiu ES. Reducing the incidence of hematoma requiring surgical evaluation following male rhytidectomy: a 30 year review of 985 cases. Plast Reconstr Surg. 2005;116(7):1973.
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Cuzalina, L.A., Bailey, C.E. (2012). Cosmetic Surgical Rejuvenation of the Neck. In: Erian, A., Shiffman, M. (eds) Advanced Surgical Facial Rejuvenation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-17838-2_24
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DOI: https://doi.org/10.1007/978-3-642-17838-2_24
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