8901-53 Robbins
Robbins LB, Shaw KE.
En bloc cervical lipectomy for treatment of the problem neck in facial rejuvenation surgery.
Plast Reconstr Surg. 1989 Jan;83(1):53-60. PMID: 2909078 [PubMed - indexed for MEDLINE]
Division of Plastic Surgery, Mount Sinai Medical Center, Miami Beach, Fla.
The treatment of cervical fat in facial aesthetic surgery has received much
attention in recent years. Suction lipectomy has become a very popular technique
for removing cervical fat because it is easy to perform and results in few
complications. This paper describes the en bloc excision of cervical fat in
conjunction with rhytidectomy. The senior author has treated 1,000 patients over
17 years using this technique with a high degree of patient satisfaction and
minimal morbidity. Although suction lipectomy alone may be indicated for the
younger patient, our experience suggests that the en bloc excisional technique
is the treatment of choice in the older patient in whom a rhytidectomy is also
indicated. In contrast with suction lipectomy, we have found that the en bloc
excision of cervical fat allows for more anatomic dissection and facilitates
removal of greater amounts of fat and better redraping of the cervical skin.
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