Abstract
Background
The goal of the lower face- and neck-lift is restoration of a sharp cervicomental angle. However, standard cervical rhytidectomy for the patient with extensive excess skin of the neck often leaves the patient with objectionable vertical or diagonal skin folds of the lateral neck, a large hair-step deformity, or both. To remove extensive excess skin of the neck and to avoid vertical/diagonal folds and a stepped hairline, the authors “walk” the excess skin posteriorly along the hairline, often from ear to ear along the inferior posterior hairline.
Methods
Patients with extensive excess skin of the neck underwent neck-lift procedures using the circumocciput incision technique during a 1-year period. With the patient in a sitting position, a postauricular face-lift incision is extended along the inferior hairline from ear to ear. The flap is “walked” posteriorly to and along the occiput on either side of the midline. It is closed using a divide and close technique. Flaps are created, and the wound is closed in a multilayered fashion with a posterior midline A-to-T flap.
Results
During a 1-year period, 25 patients (22 women and 3 men) underwent a cheek/neck-lift, and 2 patients (1 man and 1 woman) underwent isolated neck-lift procedures using the circumocciput incision technique. The average patient age was 64.8 years (range, 49–79 years). There were no instances of obvious lateral neck folds. Complications included hematoma (1 patient), Candida wound infection (1 patient), and a widened scar revised secondarily (1 patient). All the patients were satisfied with their cosmetic result 6 months after the operation. None of the patients stated that their final scar was noticeable or objectionable.
Conclusions
The patients in this study who presented with excessive redundant skin of the neck were treated with the “stork lift,” which provided excellent lifting of the anterior, lateral, and posterior neck as well as excellent cervicomental angles without postoperative sequelae of lateral neck folds or stepped hairlines.
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References
Feldman JJ (1992) Corset platysmaplasty. Clin Plast Surg 19(2):369–382
Rohrich RJ, Rios JL, Smith PD, Gutowski KA (2006) Neck rejuvenation revisited. Plast Reconstr Surg 118(5):1251–1263
Kamer FM, Pieper PG (2001) Surgical treatment of the aging neck. Facial Plast Surg 17(2):123–128
Mottura AA (1999) Cervical rhytidectomy. Aesth Plast Surg 23(3):179–188
Ramirez OM, Robertson KM (2001) Comprehensive approach to rejuvenation of the neck. Facial Plast Surg 17(2):129–140
Sykes JM (2001) Rejuvenation of the aging neck. Facial Plast Surg 17(2):99–107
Gonzalez-Ulloa M (1962) Facial wrinkles: Integral elimination. Plast Reconstr Surg Transplant Bull 29:658–673
Spira M, Gerow FJ, Hardy SB (1967) Cervicofacial rhytidectomy. Plast Reconstr Surg 40(6):551–561
Guerrerosantos J, Dicksheet S, Sandoval M (1982) The seagull incision in posterior cervical lift: Indications, limitations, and surgical technique. Plast Reconstr Surg 70(3):388–396
Kaye BL (1980) The extended neck lift: The “bottom line”. Plast Reconstr Surg 65(4):429–435
Campbell JP, McCollough EG, Metzinger SE (1997) Posterior cervical rhytidectomy: A valuable adjunct in facial rejuvenation surgery. Otolaryngol Head Neck Surg 116(1):79–90
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Marshak, H., Morrow, D.M. “The Stork Lift”: A Circumoccipital Extended Neck-Lift. Aesth Plast Surg 32, 850–855 (2008). https://doi.org/10.1007/s00266-008-9236-5
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DOI: https://doi.org/10.1007/s00266-008-9236-5