Skip to main content
Top
Published in: Aesthetic Plastic Surgery 5/2008

Open Access 01-09-2008 | Original Article

Combined Use of Ultrasound-Assisted Liposuction and Limited-Incision Platysmaplasty for Treatment of the Aging Neck

Authors: Patrick P. G. M. Rooijens, Hans-Peter Zweep, Werner H. Beekman

Published in: Aesthetic Plastic Surgery | Issue 5/2008

Login to get access

Abstract

Background

Many techniques have been introduced for the surgical treatment of the aging neck. In this study the combination therapy of ultrasound-assisted liposuction and limited-incision platysmaplasty for cervicofacial rejuvenation is presented.

Methods

Fifteen female patients (age = 43–75 years) were treated for grade II–III (n = 2), III (n = 6), and grade IV (n = 7) cervicomental angle deformity. The outcome of surgery was retrospectively evaluated by a panel.

Results

Ultrasonic energy was applied for an average of 2 min (range = 45 s–6.5 min). The mean aspiration volume was 125 ml. No immediate or delayed adjuvant skin reduction was needed in any of the patients. No complications were encountered in this series. After treatment significant improvement of the cervicomental angle was observed.

Conclusion

For treatment of all grades of the aging neck we advocate the combination of UAL and limited-incision platysmaplasty. This combination therapy has little morbidity and leads uniformly to significant improvement of the cervicomental angle.
Literature
1.
2.
go back to reference Cronin TD, Biggs TM (1971) The Z-plasty for the male “turkey gobbler” neck. Plast Reconstr Surg 47:534–538PubMedCrossRef Cronin TD, Biggs TM (1971) The Z-plasty for the male “turkey gobbler” neck. Plast Reconstr Surg 47:534–538PubMedCrossRef
3.
go back to reference Giampapa VC, Di Bernardo BE (1995) Neck recontouring with suture suspension and liposuction: an alternative for early rhytidectomy candidate. Aesthetic Plast Surg 19:217–223PubMedCrossRef Giampapa VC, Di Bernardo BE (1995) Neck recontouring with suture suspension and liposuction: an alternative for early rhytidectomy candidate. Aesthetic Plast Surg 19:217–223PubMedCrossRef
4.
go back to reference Grotting JC, Beckenstein MS (2001) Cervicofacial rejuvenation using ultrasound-assisted lipectomy. Plast Reconstr Surg 107:847–855PubMedCrossRef Grotting JC, Beckenstein MS (2001) Cervicofacial rejuvenation using ultrasound-assisted lipectomy. Plast Reconstr Surg 107:847–855PubMedCrossRef
5.
go back to reference Gryskiewicz JM (2003) Submental suction-assisted lipectomy without platysmaplasty: pushing the (skin) envelope to avoid a face lift for unsuitable candidates. Plast Reconst Surg 112:1393–1405PubMedCrossRef Gryskiewicz JM (2003) Submental suction-assisted lipectomy without platysmaplasty: pushing the (skin) envelope to avoid a face lift for unsuitable candidates. Plast Reconst Surg 112:1393–1405PubMedCrossRef
6.
go back to reference Guerrerosantos J (1978) The role of the platysma muscle in rhytidoplasty. Clin Plast Surg 5:29–49 Guerrerosantos J (1978) The role of the platysma muscle in rhytidoplasty. Clin Plast Surg 5:29–49
7.
go back to reference Guerrerosantos J, Ramirez OM, Espaillat L (1972) Ritidoplastia cervicofacial. Rev Lat Am Cir Plast 14:31–33 Guerrerosantos J, Ramirez OM, Espaillat L (1972) Ritidoplastia cervicofacial. Rev Lat Am Cir Plast 14:31–33
8.
go back to reference Knize DM (1998) Limited incision submental lipectomy and platysmaplasty. Plast Reconstr Surg 101:473–481PubMedCrossRef Knize DM (1998) Limited incision submental lipectomy and platysmaplasty. Plast Reconstr Surg 101:473–481PubMedCrossRef
9.
go back to reference Miller TA, Orringer JS (1996) Excision of neck redundancy with single Z-plasty closure. Plast Reconstr Surg 97:219–221PubMedCrossRef Miller TA, Orringer JS (1996) Excision of neck redundancy with single Z-plasty closure. Plast Reconstr Surg 97:219–221PubMedCrossRef
10.
go back to reference Ramirez OM (1997) Cervicoplasty: non-excisional anterior approach. Plast Reconstr Surg 99:1576–1585PubMedCrossRef Ramirez OM (1997) Cervicoplasty: non-excisional anterior approach. Plast Reconstr Surg 99:1576–1585PubMedCrossRef
11.
12.
go back to reference Teimourian B (1983) Face and neck suction-assisted lipectomy associated with rhytidectomy. Plast Reconstr Surg 72:627–633PubMedCrossRef Teimourian B (1983) Face and neck suction-assisted lipectomy associated with rhytidectomy. Plast Reconstr Surg 72:627–633PubMedCrossRef
13.
go back to reference Zins JE, Fardo D (2005) The “anterior-only” approach to neck rejuvenation: an alternative to face lift surgery. Plast Reconstr Surg 115:1761–1768PubMedCrossRef Zins JE, Fardo D (2005) The “anterior-only” approach to neck rejuvenation: an alternative to face lift surgery. Plast Reconstr Surg 115:1761–1768PubMedCrossRef
15.
go back to reference Gingrass MK, Kenkel JM (1999) Comparing ultrasound-assisted lipoplasty with suction-assisted lipoplasty. Clin Plast Surg 26:283–288PubMed Gingrass MK, Kenkel JM (1999) Comparing ultrasound-assisted lipoplasty with suction-assisted lipoplasty. Clin Plast Surg 26:283–288PubMed
16.
go back to reference Kenkel JM, Gingrass MK, Rohrich RJ (1999) Ultrasound-assisted lipoplasty. Basic science and clinical research. Clin Plast Surg 26:221–234 Kenkel JM, Gingrass MK, Rohrich RJ (1999) Ultrasound-assisted lipoplasty. Basic science and clinical research. Clin Plast Surg 26:221–234
17.
go back to reference Kenkel JM, Robinson JB Jr, Beran SJ, Tan J, Howard BK, Zocchi ML, Rohrich RJ (1998) The tissue effects of ultrasound-assisted lipoplasty. Plast Reconstr Surg 102:213–220PubMedCrossRef Kenkel JM, Robinson JB Jr, Beran SJ, Tan J, Howard BK, Zocchi ML, Rohrich RJ (1998) The tissue effects of ultrasound-assisted lipoplasty. Plast Reconstr Surg 102:213–220PubMedCrossRef
18.
go back to reference Grotting JC, Beckenstein MS (1999) The solid-probe technique in ultrasound-assisted lipoplasty. Clin Plast Surg 26:245–254PubMed Grotting JC, Beckenstein MS (1999) The solid-probe technique in ultrasound-assisted lipoplasty. Clin Plast Surg 26:245–254PubMed
19.
go back to reference Zocchi ML (1996) Ultrasonic assisted lipoplasty. Technical refinements and clinical evaluations. Clin Plast Chir 23:575–598 Zocchi ML (1996) Ultrasonic assisted lipoplasty. Technical refinements and clinical evaluations. Clin Plast Chir 23:575–598
20.
go back to reference Zocchi ML (1999) Basic physics for ultrasound-assisted lipoplasty. Clin Plast Chir 26:209–220 Zocchi ML (1999) Basic physics for ultrasound-assisted lipoplasty. Clin Plast Chir 26:209–220
21.
go back to reference Maxwell GP, Gingrass MK (1997) Ultrasound assisted body contouring; a clinical study of 250 consecutive patients. Plast Reconstr Surg 101:189–204 Maxwell GP, Gingrass MK (1997) Ultrasound assisted body contouring; a clinical study of 250 consecutive patients. Plast Reconstr Surg 101:189–204
22.
go back to reference Rohrich RJ, Berjan SJ, Kenkel JM, Adams WP Jr, DiSpaltro F (1998) Extending the role of liposuction in body contouring with ultrasound-assisted liposuction. Plast Reconstr Surg 101:1090–1102PubMedCrossRef Rohrich RJ, Berjan SJ, Kenkel JM, Adams WP Jr, DiSpaltro F (1998) Extending the role of liposuction in body contouring with ultrasound-assisted liposuction. Plast Reconstr Surg 101:1090–1102PubMedCrossRef
Metadata
Title
Combined Use of Ultrasound-Assisted Liposuction and Limited-Incision Platysmaplasty for Treatment of the Aging Neck
Authors
Patrick P. G. M. Rooijens
Hans-Peter Zweep
Werner H. Beekman
Publication date
01-09-2008
Publisher
Springer-Verlag
Published in
Aesthetic Plastic Surgery / Issue 5/2008
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-008-9215-x

Other articles of this Issue 5/2008

Aesthetic Plastic Surgery 5/2008 Go to the issue