9003-333 Feldman
Feldman JJ.
Corset platysmaplasty. Plast Reconstr Surg. 1990 Mar;85(3):333-43. PMID: 2304983 [PubMed - indexed for MEDLINE]
Comment in:
Plast Reconstr Surg. 1991 Jan;87(1):196-7.
Division of Plastic Surgery, Mount Auburn Hospital, Cambridge, Mass.
Contemporary surgery to rejuvenate the aging neck commonly includes some type of
platysma modification. Most currently used methods of platysmaplasty involve
upper midline plication, muscle resection, or transection. These methods,
however, have their shortcomings, often producing necks that display persistent
or recurrent paramedian muscle bands, visible submandibular gland bulges, and
various contour irregularities. Corset platysmaplasty was developed to avoid
these postoperative imperfections. After an adequate subcutaneous and
subplatysmal lipectomy has been performed, the two medial edges of the platysma
are joined together with a continuous suture that runs down, and up, and down
almost the full-height of the neck to create a smooth, flat, multilayered seam,
leaving no free muscle edges to return as visible bands. Progressive
side-to-side tightening along the midline seam defines the "waistline" of the
neck. Additional submandibular suturing is then done to create strong, flat,
vertical muscle pleats that correct submandibular gland bulging and refine the
jawline and anterolateral neck contours. Corset platysmaplasty is useful for all
patients with visible paramedian muscle bands and all patients who would benefit
from having a decussated upper neck platysma opened for submuscular defatting,
including patients with oblique, palpably firm necks that suggest a vertically
short platysma muscle or low-lying hyoid bone. The paper is based on the results
with 75 patients having undergone corset platysmaplasty, most having been
followed for 1 to 3 years.
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