Neck Deformities in Plastic Surgery - 03/10/19

Doi : 10.1016/j.fsc.2019.07.009

Neil A. Gordon, MD ^a,^b,^⁎ , Boris Paskhover, MD ^c,^d, Jacob I. Tower, MD ^e, Thomas Gerald O’Daniel, MD, FACS, EMBA ^f,^{^{1
Senior author.}}
^a New England Surgical Center, The Retreat at Split Rock, 539 Danbury Road, Wilton, CT 06897, USA
^b Head and Neck Aesthetic Surgery, Facial Plastic and Reconstructive Surgery, Department of Surgery, Section of Otolaryngology, Yale School of Medicine, New Haven, CT, USA
^c Department of Otolaryngology–Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA
^d Facial Plastics and Reconstructive Surgery, St. Barnabas Medical Center, Robert Wood Johnson Barnabas Health, Livingston, NJ, USA
^e Department of Surgery, Section of Otolaryngology, Yale School of Medicine, 800 Howard Avenue, 4th Floor YPB, New Haven, CT 06519, USA
^f Department of Plastic Surgery, University of Louisville, 132 Chenoweth Lane, Louisville, KY 40207, USA

^∗Corresponding author. New England Surgical Center, The Retreat at Split Rock, 539 Danbury Road, Wilton, CT.New England Surgical CenterThe Retreat at Split Rock539 Danbury RoadWiltonCT

Résumé

This article provides facial plastic surgeons with the insight to avoid and address common pitfalls in neck procedures. Many aesthetic issues are created from overtreatment or undertreatment of components of the neck. Using the platysma muscle as the divide, ease of access to superficial anatomy leads to overtreatment problems, whereas difficulty of access to deeper structures leads to undertreatment problems and to overall imbalances. Strategies to accurately assess and treat all structures of the neck proportionally can be used to both avoid and treat any neck aesthetic issues. The advent of minimally invasive techniques has resulted in new complications.

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Keywords : Neck lift, Complications, Platysma, Subplatysma surgery, Revision, Submandibular gland, Digastric muscle, Deep central neck fat