Rethinking complete platysma transection
A plastic surgeon critically looked at his own series of 150 consecutive complete platysma transection necklift patients and suggests the specialty should reconsider what the most appropriate procedure might be for correction of the anterior neck.
In a recent study, Mario Pelle Ceravolo, M.D., a plastic surgeon practicing in Rome, Italy, and colleagues studied the use of a major neck rejuvenation procedure, combining full neck undermining with complete platysma transection and midline platysma approximation.
The prospective study was conducted between 2010 and 2014, evaluating patient satisfaction and recurrence rates of anterior skin laxity and platysma bands. The researchers reviewed 138 of those patients at three months and 96 cases at one year. During those reviews, patients completed questionnaires designed to gather their input on the procedure.
They found that 100% of patients were satisfied at three months, but that dropped to 76% of patients at one year. Results, according to what the surgeons saw, began to decline at one year, when 48% of patients appeared to have anterior neck skin excess and, in 45%, the bands were recurring.
While the results from the major cosmetic procedure were satisfactory in most patients, the authors note the technique’s many downsides, including that “… it is time consuming, there is the risk of iatrogenic deformities unless it is carried out precisely, the postoperative recovery is often very long, and there is a significant failure to maintain long-term correction.”
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