Techniques for Rejuvenation of the Neck Platysma

The document from 2014 discusses surgical and nonsurgical techniques for rejuvenating the neck platysma to combat signs of aging. It emphasizes the importance of patient goals, thorough examination, and understanding Baker's classification system for aging. Surgical options like chemodenervation, laser skin resurfacing, liposuction, skin tightening, platysmaplasty, and digastric modification are described, with ideal candidates having strong bone structure, good chin projection, and elastic skin. The Z-plasty technique is highlighted for its ability to define the cervicomental angle and avoid complications. The document also addresses potential risks such as hematoma, nerve injury, flap necrosis, and scar irregularities, and stresses the importance of proper patient selection, education, and postprocedural care. The conclusion states that direct excision techniques can effectively rejuvenate the neck but may not improve the jawline and could create disharmony between the neck and face if not executed properly.