Abstract
Background
Neck rejuvenation has been one of the most important components in treatment for the aging face because the neck frequently is the first feature to show signs of aging. Several techniques have been described, but assessment of the long-term effects, although limited, has shown frequent recurrence of neck ptosis and the need for reoperation. The suture suspension technique was introduced 13 years ago. This article presents the long-term results for this technique, illustrating the different neck types, their classification, and their outcomes.
Methods
For this study, 100 patients who underwent neck rejuvenation using the suture suspension platysmaplasty technique were randomly selected. They represented the four patient groups examined: 5-year group (47 patients), 7-year group (28 patients), 10-year group (19 patients), and 13-year group (6 patients). The key anatomic points for each patient were evaluated preoperatively and postoperatively by five independent observers who analyzed the outcomes with a simplified scoring system (1 to 10 for each anatomic point). The scoring system was used for all the patient age groups and applied to all six key anatomic points of the neck: cervicomental angle depth, mandibular border definition, mandibular angle definition, labiomandibular fold prominence (jowling), mental prominence, and neck width. Patient satisfaction surveys were offered to all patients included in the study.
Results
All the patient groups showed significant aesthetic improvement (in terms of their scores) for all the anatomic points (1–6) evaluated. Specifically, the long-term effect of the procedure was the most impressive for the cervicomental angle (with improvement ranging from 82% to 95% for the four groups of patients). The least degree of improvement was noted for the labiomandibular fold (with improvement ranging from 12% to 53% for the four groups of patients). The remaining anatomic variables showed an overall improvement ranging from 61% to 85%.
Conclusion
The suture suspension technique is a safe, reproducible technique that allows for a staged rejuvenation of the neck. As an alternative for the early rhytidectomy candidate, it produces excellent patient satisfaction outcomes with long-term corrections for the majority of patients. As compared with previously described platysmaplasty techniques, suture suspension platysmaplasty has the benefit of endurance. This article documents that the corrections can last at least 13 years with virtually unchanged aesthetic results.
Similar content being viewed by others
References
Brandt FS, et al. Botulinum toxin for rejuvenation of the neck. Clin Dermatol 21:513–520, 2003
Ellanbogen R, Karlin V: Visual criteria for success in restoring the youthful neck. Plast Reconstr Surg 66:826,1980
Ellis DA, Pelausa EO: Fibrin glue in facial plastic and reconstructive surgery J Otolaryngol 17:74–77, 1988
Feldman JJ: Corset platysmaplasty. Plast Reconstr Surg 85:333–343, 1990
Fuente del Campo A: Midline platysma muscular overlap for neck restoration. Plast Reconstr Surg 102:1710–1714, 1998 discussion 1715
Giampapa VC: Suture suspension technique offers predictable, long-lasting neck rejuvenation. Aesth Surg J 20:253–255, 2000
Giampapa VC, Bitar G: Use of fibrin sealant in neck contouring. Aesth Surg J 22:519–525, 2002
Giampapa VC, DiBernardo B: Neck recontouring with suture suspension and liposuction: An alternative for the early rhytidectomy candidate. Aesth Plast Surg 19:217–223, 1995
Giampapa VC, Fuente del Campo A, Ramirez OM: Anti-aging medicine and the aesthetic surgeon: A new perspective for our specialty. Aesth Plast Surg 27:493–501, 2003 Epub 2004 March 22, review
Gregory Stephen Latrenta: Atlas of aesthetic face and neck surgery. WB Saunders: Philadelphia, pp. 282–286, 2003
Gryskiewicz JM: Submental suction-assisted lipectomy without platysmaplasty: Pushing the (skin) envelope to avoid a face-lift for unsuitable candidates. Plast Reconstr Surg 112:1393–405, 2003 discussion 1406–1407
Guerrerosantos J, Espaillat L, Morales F: Muscular lift in cervical rhytidoplasty. Plast Reconstr Surg 54:127–130, 1974
Hoefflin SM: Anatomy of the platysma and lip depressor muscles: A simplified mnemonic approach (review). Dermatol Surg 24:1225–1231, 1998
Jasin ME: Submentoplasty as an isolated rejuvenative procedure for the neck. Arch Facial Plast Surg 5:180–183, 2003
Ramirez OM: Cervicoplasty: Nonexcisional anterior approach. Plast Reconstr Surg 99:1576,1997
Ramirez OM: Mandibular matrix implant system: A method to restore skeletal support to the lower face. Plast Reconstr Surg 106:176–189, 2000
Vogel A, O’Grady K, Toriumi DM: Surgical tissue adhesives in facial plastic and reconstructive surgery (review). Facial Plast Surg 9:49–57, 1993
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Giampapa, V., Bitzos, I., Ramirez, O. et al. Long-Term Results of Suture Suspension Platysmaplasty for Neck Rejuvenation: A 13-Year Follow-up Evaluation. Aesth Plast Surg 29, 332–340 (2005). https://doi.org/10.1007/s00266-005-0028-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-005-0028-x