TLDR Direct excision techniques can rejuvenate the neck but may not enhance the jawline and could cause neck-face disharmony if done incorrectly.
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.
12 citations
,
January 2012 in “Current Dermatology Reports” The document discussed the rapid growth of cosmetic dermatology in the U.S., with $10.7 billion spent on 9.3 million procedures in 2010, predominantly by women. It highlighted popular nonsurgical procedures like Botulinum toxin injections and laser hair removal, and noted an increase in male participation. Motivations included societal pressures and workplace biases, with an emphasis on recognizing body dysmorphic disorder. Safety concerns were addressed, noting low complication rates for procedures under local anesthesia and the importance of safety protocols. The document also covered the efficacy and safety of various treatments, such as radiofrequency devices, ultrasound, and fractional laser technology, and emphasized the need for larger studies. It discussed complications like vascular compromise and biofilm formation with soft tissue fillers, and post-inflammatory hyperpigmentation with laser resurfacing. The importance of proper technique, patient selection, and ethical marketing was stressed, along with the need for rigorous testing of new products and procedures.
49 citations
,
June 2009 in “Seminars in Cutaneous Medicine and Surgery” The cosmetic industry should adapt to the varied beauty standards of ethnic groups and offer specialized treatments.
38 citations
,
February 2016 in “Surgery Journal” Facial plastic surgery has evolved to focus on less invasive techniques and innovative technologies for cosmetic and reconstructive procedures.
2 citations
,
January 2017 in “Clinical approaches and procedures in cosmetic dermatology” The document concludes that understanding skin structure is essential for effective cosmetic treatments.
January 2012 in “Current Therapy In Oral and Maxillofacial Surgery” Endoscopic forehead and brow lifting safely and consistently improves aged eyebrows, but may have complications.
