A Simplified Method for Management of Platysmal Bands: Platysmotomy as an Office Procedure
- 519 Downloads
Restoration of the esthetic neck contour is an integral component of facial rejuvenation. Characters of the aging neck include lipodystrophy, platysmal bands and jowls that extend into the neck, reducing the esthetic characters of the lower face. The authors present a new, simplified and economic method to manage platysmal bands as an office procedure under local anesthesia using a standard 18-gauge syringe needle as a cutting tool. The new technique was used on a selected group of female patients classified as non-surgical cases according to Rorich classification. Twenty-five female patients shared in this study, with a follow-up period standardized to 1 year; one patient showed up after 1.5 years with preserved esthetic outcome. One patient showed residual band managed by recutting immediately after bruising and edema resolved. The technique was proven safe regarding important neurovascular structures of the neck. Patients gave no negative comments regarding results of surgery. Kappa statistical analysis showed perfect interobserver agreement between patients and an independent assessor. The authors concluded that the studied new technique is safe, effective, and valuable for management of platysmal bands in a selected group of patients.
Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
KeywordsClosed platysomotomy Platysmaplasty Percutaneous platysmotomy Platysmal bands release Platysmotomy Platysmal release
The authors would like to acknowledge the efforts of professor Dr. Ashraf Abdel Kader Ahmed Aly (plastic and Reconstructive Surgery Department, Al Azhar University, Cairo, Egypt) for giving his valuable objective opinion in the assessment of the results of this work.
Compliance with ethical standards
Conflict of interest
The authors have no conflicts of interest to disclose. There were no conflict of interests of any kind stated by the International Committee of Medical Journal Editors Regulations.
All the procedures performed in this study that involved human participants were in accordance of the institutional, national research committee and compliant with the 1964 Declaration of Helsinki and its later amendments and comparable ethical standards. Informed consent was obtained from all individual participants in this study including scientific publications of their clinical photography, videos, etc.
Supplementary material 1 (MOV 60272 kb)
Supplementary material 2 (MP4 313069 kb)
- 1.Rohrich RJ, RiosJL Smith PD, Gutowski KA (2006) Neck rejuvenation revisited. PlastReconstrSurg 118(5):1251–1263Google Scholar
- 3.Dayan SH, Benjamin B, Rayan MG, Amit BP (2009) Ch.6: Neck rejuvenation. In: Hirsch R, Sadick N, Cohen JL (eds) Aesthetic rejuvenation a regional approach. McGraw Hill Medical, pp 123–149Google Scholar
- 5.Sulamanidze MA, Salti G, Mascetti M, Sulamanidze GM (2000) Wire scalpel for surgical correction of soft tissue contour defects by subcutaneous dissection. DermatolSurg 26(2):146–150Google Scholar
- 9.De Castro CC (1980) The anatomy of the platysma muscle. PlastReconstrSurg 5:680–683Google Scholar