Complications and Sequelae of Neck Rejuvenation

    Rami K. Batniji
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    TLDR Neck lift surgery can lead to complications like hematoma, nerve injury, and skin issues, with various treatments available for each.
    The document from 2014 outlines various complications that can arise from neck lift surgery, such as hematoma, which occurs in about 3% of cases, induration, skin contour irregularities, nerve injury, infection, persistent platysmal bands, earlobe distortion, submandibular gland issues, and hairline distortion. It details the potential treatments for each complication, including immediate intervention for hematomas, steroid injections and massage for induration, and revision surgery or fillers for skin irregularities. Nerve injuries, particularly to the great auricular nerve and the marginal mandibular branch, can lead to issues like lower lip weakness. The document notes an increase in MRSA infections, though infections are generally rare. Treatments for persistent platysmal bands include botulinum toxin injections and surgical options. Earlobe distortion can be corrected by surgery, and submandibular gland issues can be managed with various techniques. Hairline distortion is addressed through careful surgical practices and potential hair restoration procedures. The document stresses the importance of careful preoperative planning, skilled surgical execution, and attentive postoperative care to reduce the risk of complications and advises prompt and understanding responses to any complications that do occur.
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