Liposuction and Surgical Recontouring of the Neck
Dermatologic Surgery
2000 Abstract
0007-625 Jacob
Jacob CI, Berkes BJ, Kaminer MS.
Liposuction and surgical recontouring of the neck: a retrospective analysis. Dermatol Surg. 2000 Jul;26(7):625-32. PMID: 10886268
Comment in:
Dermatol Surg. 2000 Nov;26(11):1083-4.
Dermatol Surg. 2001 Feb;27(2):220-1.
Beth Israel Deaconess Medical Center, Cosmetic Surgery and Laser Center, Boston,
Massachusetts, USA.
BACKGROUND:
With the advent of tumescent liposuction, many advances in cosmetic
surgery have occurred. Liposuction of excess adipose tissue from the submental
area, jowls, and neck, along with cold steel surgery, has become an attractive
alternative to the facelift for cervicomental aesthetic surgery.
OBJECTIVE:
To describe new techniques for tumescent neck liposuction, platysma repair, and
subcutaneous musculoaponeurotic system plication, evaluate results, and assess
complications with the procedures.
METHODS:
We reviewed the results of the last
35 patients who underwent neck liposuction, simultaneous platysma plication,
subdermal CO2 laser resurfacing, and/or subcutaneous musculoaponeurotic system
plication at our institution.
RESULTS:
Three of 35 patients (9%) experienced
mild complications from the procedure. Two of the three complications (66%) were
in patients who underwent subdermal and/or platysma laser resurfacing at the
time of liposuction. Good to excellent results were achieved in 91% of patients
and fair to good results were achieved in 9%. No major complications such as
nerve injury occurred.
CONCLUSION:
Neck liposuction can be a safe method for facial rejuvenation when performed properly. Platysma repair, and in some cases
subcutaneous musculoaponeurotic system plication, can further improve results
when combined with the liposuction procedure.