Hyo-neck lift evolution: Neck lift with fixation of the platysma to the deep cervical fascia

被引:8
作者
Le Louarn, C. [1 ]
机构
[1] 59 Rue Spontini, F-75116 Paris, France
来源
ANNALES DE CHIRURGIE PLASTIQUE ESTHETIQUE | 2018年 / 63卷 / 02期
关键词
Neck lift; Cervico-mandibular angle; Platysma; Deep cervical fascia; Hyoplatysmal ligament; Sub-platysma fat; Platysma bands; Submandibular gland; Hyoid bone; Slipping pre hyoid plane; Lateral platysmal flap; DISPLACEMENT; LIGAMENT;
D O I
10.1016/j.anplas.2017.11.005
中图分类号
R61 [外科手术学];
学科分类号
摘要
The aim of any neck lift obviously includes the restoration of an acute cervicomandibular angle. The hyo neck lift, first published in April 2016, did proposed a new technique of neck lift with a sub-cutaneous neck dissection and suture of the platysma to the hyoid through this sub-cutaneous approach. To enhance results and efficiency, a major change of the hyo neck lift technique is herein proposed with a vertical anterior sub-platysmal and sub-platysmal fat opening and dissection. This anterior dissection ensures a precise and efficient fixation of the platysma to the deep cervical fascia on direct visual control. This permits to create an horizontal and posterior vector of tension on both platysma and skin, which induces flattening of the submental area and consequently creates or recreates an acute cervicomandibular angle. The sub-cutaneous dissection is no more necessary at the hyoid level. In addition, the posterior border of the anterior platysmal flap is suspended to the mastoid fascia. If necessary, the submandibular gland, through this lateral approach, can be partially excised inside it's capsule, after strong bipolar coagulation. A botulinum toxin injection, realized in early post-op, will definitively stabilize the platysma to deep cervical fascia fixation. Fifteen patients underwent the new technique of neck lift with fixation of the platysma to the deep cervical fascia and suspension of the lateral platysma (Platysma Fixation Platysma Suspension: PF PS) and were evaluated at one year post-op and compared to the results obtained with the first preliminary prospective study "hyo neck lift technique'' published in April 2016. As now subcutaneous dissection is limited, recovery is faster. No transient nerve damage happened because dissection planes are designed to be far from nerve branches. Conclusions. - The simplest way to obtain an acute cervicomandibular angle is to reattach the platysma to the deep cervical fascia along the platysma cords. The new neck lift with fixation of the anterior platysma to the deep cervical fascia and suspension of the lateral platysma, is faster to perform, induces a faster recovery and is safer and more efficient than the subcutaneous hyo neck lift and other described types of anterior platysma plasties. (C) 2017 Published by Elsevier Masson SAS.
引用
收藏
页码:164 / 174
页数:11
相关论文
共 13 条
  • [1] [Anonymous], GRAYS AN HUM BOD, P42
  • [2] The Hyoplatysmal Ligament: Characterization and Biomechanical Properties
    Brandt, Michael G.
    Hassa, Agnieszka
    Roth, Kathryn
    Wehrli, Bret
    Moore, Corey C.
    [J]. ARCHIVES OF FACIAL PLASTIC SURGERY, 2012, 14 (05) : 369 - 371
  • [3] Feldman JJ., 2006, NECK LIFT, P307
  • [4] Neck Lift My Way: An Update
    Feldman, Joel J.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2014, 134 (06) : 1173 - 1183
  • [5] Labbé D, 2006, PLAST RECONSTR SURG, V117, P2001, DOI 10.1097/01.prs.0000218972.75144.9c
  • [6] Cervico-Mental Angle Suspensory Ligament: The Keystone to Understand the Cervico-Mental Angle and the Ageing Process of the Neck
    Labbe, Daniel
    Martins Rocha, Cynthia Souza
    Rocha, Franklin de Souza
    [J]. AESTHETIC PLASTIC SURGERY, 2017, 41 (04) : 832 - 836
  • [7] Submental Area Rejuvenation by Digastric Corset: Anatomical Study and Clinical Application in 20 Cases
    Labbe, Daniel
    Giot, Jean-Philippe
    Kaluzinski, Eric
    [J]. AESTHETIC PLASTIC SURGERY, 2013, 37 (02) : 222 - 231
  • [8] Hyo neck lift: Preliminary report
    Le Louarn, C.
    [J]. ANNALES DE CHIRURGIE PLASTIQUE ESTHETIQUE, 2016, 61 (02): : 110 - 116
  • [9] Le Louarn Claude, 2006, Aesthet Surg J, V26, P603, DOI 10.1016/j.asj.2006.08.001
  • [10] Submandibular Gland Reduction in Aesthetic Surgery of the Neck: Review of 112 Consecutive Cases
    Mendelson, Bryan C.
    Tutino, Roberto
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2015, 136 (03) : 463 - 471