Platysma suspension and platysmaplasty during neck lift: anatomical study and analysis of 30 cases.

BACKGROUND: The authors developed a technique for the treatment of the cervical area during face lifts. The authors called this technique platysma suspension and platysmaplasty rather than plication.

METHODS: After an anatomical study on 10 corpses on which the authors tested the various platysma suspension techniques, they carried out platysma suspension associated with platysmaplasty in 30 patients.

RESULTS: This technique consists of suspending the free edge of the platysma muscle and fixing it to a resistant tissue close to the earlobe (Loré's fascia or tympanoparotid fascia). The anterior triangle of the neck was well defined, and there was no need to undermine the platysma muscle because of a perfect sliding plane between the platysma and sternocleidomastoid muscles.

CONCLUSIONS: This technique is both simple and effective. It generates long-lasting results, without the inconveniences or complications associated with other techniques.