This procedure is performed to reduce the "banded appearance" of the neck area. A incision is made under the chin like the cervicoplasty or behind the ears or both. The plastic surgeon will insert an endoscope (instrument with a small camera on the end) to either remove or realign portions of specific neck muscles. This procedure tightens the middle area of the neck. The surgeon will use permanent sutures in the areas of the muscles to position them in the proper area.
A bandage and tape is applied to the areas where the incisions were made to help reduce swelling and discomfort. Finally, a compression elastic bandage is applied to the neck and head area in which this will have to be worn for several weeks after the surgery.
Most surgeons feel that a properly performed neck lift is the foundation for an excellent rhytidetectomy (face lift) result. Performing a corset platysmaplasty could possibly be more important than the choice of the type of face lift that will be planned.
A corset platysmaplasty sews together the free edge of platysma muscle under the chin to create a small hammock or sling which supports the flat area under the chin and creates a neck/chin angle (cervicomental angle).
advantage of a corset platysmaplasty is that it helps prevent
falling neck lifts, recurrence of neck muscle bands, pixie ears,
and thickened scars behind the ear. Some surgeons believe
that trying to perform a neck lift by tacking the back edge of
the platysma muscle behind the ear with performing a corset
platysmaplasty could potentially be a contributing factor in the
failure of a neck lift.
How a Corset Platysmaplasty is performed:
Mini-Neck Lift - also known as a Submentoplasty
This method is slightly different that liposuction under the chin. The submentoplasty involves an incision located under the chin (similar to the liposuction method) - however, it is about 1/2" to 3/4" long in order to see the muscle bands. The plastic surgeon will sew these bands together in a corset platysmaplasty, giving the neck and nice profile and angle. The neck muscles are tightened with a combination of either liposuction and or muscle tightening.
A mini neck lift is a procedure that is limited to younger patients who have better elasticity of the skin, since there is no skin that is removed. This method allows the skin to shrink back to the new shape of the neck.
A mini neck lift is limited to those patients approximately 45 years and younger - and the patients are normally near their ideal or target weight.
Patients normally wear a compression garment during recovery for several days after the surgical procedure.
Submentoplasty (submental tuck up or modified submentoplasty)
Sometimes patients who have had one neck lift might need a revision procedure because of either complications that happened with the first surgery or they need more liposuction done to get the aesthetic look they are after. A mini neck lift or submentoplasty is indicated for these patients.
A submental tuck-up or modified submentoplasty can involve one of three tissues:
Repeat liposuction only for re-accumulation or resettling of an asymmetrical area of fatty tissue in the sub-mandibular or submental area
Skin re-draping due to rebound relaxation of the skin itself, premature loss of elasticity, or rippling in the skin texture itself. This is often caused by or aggravated if the patient has had a seroma in the early postoperative period
Platysma band correction that may involve repeating the procedure and undermining with re-draping of the skin
FAST FACTS on Mini Neck Lifts
Candidates for Surgery:
a mini-neck lift or a limited
incision neck lift is an excellent procedure for those whose
aging is primarily isolated to the neck and have relatively good
Procedure: Via a small incision under the chin excess fat is removed, muscles tightened, and soft tissue sculpted to improve neck contour.
Surgical Time: 1 1/2 to 2 hours
Anesthesia: Local with IV sedation, General Anesthesia
Recovery: 10 days to 2 weeks for acceptable appearance
Risks: Infection, bleeding, and contour irregularities have been reported.