Publication: Fixation of superolateral platysma flap to the mastoid fascia: a novel isolated neck lift technique
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Date
2024-09
Authors
Okumuş, Ayhan
Journal Title
Journal ISSN
Volume Title
Publisher
Springer
Abstract
Background
This study aimed to evaluate the utility of a novel neck lift technique based on fixation of superolateral platysma flap to the mastoid fascia in terms of postoperative aesthetic outcome and patient satisfaction within an 18-month follow-up period.
Methods
A total of 145 female patients who underwent isolated neck lift operation with the superolateral platysma flap technique were included. Global Aesthetic Improvement Scale (GAIS) scores (by the investigator) and the patient reported outcomes were recorded in terms of improvement in the cervicofacial angle, jowls, platysmal bands and malpositioned cervical fats, at 6 and 18 months, postoperatively. The complications were recorded at early postoperative period and at 1, 6 and 18 months, postoperatively.
Results
The median duration of follow-up was 18 months (range, 6–48 months). GAIS scores at 18th months, revealed exceptional improvement in the cervicofacial angle (82.8%), the jowls (93.1%), platysmal bands (93.1%) and malpositioned cervical fat (97.2%). Majority of patients were very satisfied with the treatment in terms of the aesthetic improvement. Complications involved the minor ecchymosis (17.2%) and minor skin circulatory problem (11.7%) in the early postoperative period, suture exposure (12.4%) in the postoperative 1st month, and cervical band reformation in the 6th (0.7%) and 18th (1.4%) months.
Conclusion
In conclusion, lateral displacement and fixation of superolateral platysma flap to the mastoid fascia seems to be a useful neck lift technique for correction of platysma- and skin-derived aging sings with minor and manageable complications, immediate return to everyday activities and a high patient satisfaction.
Description
Science Citation Index Expanded (SCI-EXPANDED)
Keywords
Neck rejuvenation , Novel neck lift technique , Superolateral platysma flap , Mastoid fascia , Platysmal band , Aesthetic outcome , Patient satisfaction
Citation
Okumuş, A. (2024). Fixation of Superolateral Platysma Flap to the Mastoid Fascia: A Novel Isolated Neck Lift Technique. Aesthetic Plastic Surgery, 48, 4619–4630. https://doi.org/10.1007/s00266-024-04336-z
