Background: Numerous techniques have been described
for neck lifting aiming at minimal access and limited downtime.
This study presents a surgical technique for patients with
considerable neck bands avoiding the anterior neck incision.
Patients and Methods: Thirteen female patients (mean
age 57 years) with considerable platysma laxity underwent
suture platysmaplasty during face lift procedures. Through a
face lift incision, the platysma was suspended to the ipsilateral
mastoid periosteum using permanent suture. The outcome
was rated according to a modified visual analogue scale for
neck bands and cervicomental angle.
Results: Twelve patients achieved satisfactory stable
improvement. One case had early recurrence of her platysma
bands that required surgical correction.
Conclusion: Modified ipsilateral suture suspension platysmaplasty,
through the facelift approach can improve platysma
bands without the need for additional anterior approach. This
modified technique makes the procedure easier and less
invasive.
Evidence Based Medicine: Level IV, case serie