Neck Lift

Central Concepts The Integrated Neck Lift Globalists Versus Regionalists The Isolated Neck Lift Incisions without Skin Excision Skin Redistribution An Incision for Skin Excision The Essential Padding of the Neck Open Lipectomy Versus Closed Liposuction Trimming Rather than Lifting the Jowl Corset Platysmaplasty Platysma Bands: The Rationale for Union Subplatysmal Aesthetic Surgery Small Chins, Big Chins, and Ptotic Chins The Value of Open Submental Surgery Surgical Anatomy of the Neck Cervical Triangles Fasciae of the Neck The Platysma and Muscles of the Lower Lip External Jugular Vein Other Superficial Veins Sensory Distribution in the Neck and Head Great Auricular Nerve Lesser Occipital Nerve Spinal Accessory Nerve Retaining Ligaments of the Neck Subplatysmal Fat Anterior Digastric and Mylohyoid Muscles The Facial Nerve and the Lower Lip Mandibular and Cervical Nerve Branches Real Paralysis Versus Pseudoparalysis of the Mandibular Branch The Mentalis Test What Causes the Depressor-Deprived Lip Margin to Rise? Avoiding a Depressor Weakness Submandibular Salivary Gland Incisions The Submental Incision The Earlobe-Base Incision The Three-Quarter-Length Sulcus Incision The Three-Quarter-Length Sulcus Incision Used with a Cheek Lift The Full-Length Sulcus Incision The Helix-Hairline Touch Point The Three-Quarter or Full-Length Sulcus Incision with a Hinge The Occipital Hair-Edge Incision with Skin Excision The Patient in Consultation What the Patient Wants Expectations-Theirs and Mine Aesthetic Aspirations-Mine and Theirs The Aesthetic Unit and Subunits of the Neck Examining the Neck A Dry Run Medical Evaluation Talk about Technique-Maybe Just a Little Talk about the Postoperative Course Talk about Risks and Potential Problems Talk about Anesthesia Medications, Bleeding, and Testing The Surgical Plan Surgery's Sequence of Events Ambience Anesthesia Review Surgery Review Preoperative Marking Hair Preparation Safety, Comfort Measures, and Intraoperative Monitoring Injecting the Local Anesthetic Sequence for an Isolated Neck Lift Sequence for a Combined Brow-Cheek-Neck Lift Regimen after Leaving the Postanesthesia Recovery Area Neck Flap Dissection and Subcutaneous Lipectomy Instruments for Flap Dissection Electrocautery The Yankauer (Tonsil-Tip) Suction Cannula Lighting Positioning Blind Undermining Hemostasis Surgical Technique Corset Platysmaplasty The History of Platysmaplasty Corset Highlights Instruments for Platysmaplasty Suture Material Preliminary Surgical Maneuvers Surgical Technique: The Classic Corset The Corset Using the Go-Anywhere Suture Avoiding a Midline Ridge What to Do with Muscle Holes or Tears Lateral Access Tuck-In Suture Upper Platysma Approximation What Is a Corset, and What Is Not Pull-Back Sutures for Tiny Platysma Bands Subplatysmal Aesthetic Surgery Preoperative Assessment Subplatysmal Lipectomy Instruments for Subplatysmal Surgery Surgical Technique: Subplatysmal Lipectomy Perihyoid Fascia Release Anterior Digastric Release and Transection Midline Approximation of Digastric Muscles Shave Resection of the Anterior Digastric Muscles The Firm Oblique Neck Surgical Tips Submandibular Salivary Gland Bulges Causation Tactics for Battling the Bulge Concerns Regarding Resection Instruments for Gland Resection The Surgeon's Position Surgical Technique The Ptotic Chin Causes of Chin Ptosis Types of Chin Ptosis Submental Skin Crease Leveling Method Elliptical Excision Method Flap and Trim Method Small Ptotic Chin Big Ptotic Chin Dumbbell-Shaped Chin Ptosis Earlobe Shaping Earlobe Shape Correction of an Attached Earlobe Correction of a Pixie Earlobe Earlobe Size Correction of the Big Earlobe Earlobe Edge Excision Combination Edge-Wedge Excision Anterior Wedge Excision Correcting Problems from a Previous Neck Lift Seromas and Their Sequelae The Midline Ridge Subcutaneous Fibrous Strands Recurrent Platysma Bands Pleats around the Earlobe Lateral Neck Skin Folds Distorted Earlobe Overly Defatted or Underfilled Jawline Visible Postauricular Incision Scars Displaced Hairline Persistent or Recurrent Jowl Submental Convexity Submandibular Sausage Submental Cavity Prominent Adam's Apple Recurrent Submandibular Salivary Gland Bulge Sialoma Excess Submental Skin