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Open Access 22-09-2023 | Face Lift | Original Articles

Facelift: Assessment of Total Platysma Muscle Transection to Prevent the Recurrence of Platysmal Bands

Authors: Jean-Paul Meningaud, Rosita Pensato, Virginie Pineau, Luca D’Andrea, Chiara Pizza, Edoardo Coiante, Barbara Hersant, Simone La Padula

Published in: Aesthetic Plastic Surgery | Issue 2/2024

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Abstract

Introduction

Determining which facelift technique yields the most effective long-term rejuvenation results and ensures optimal stability over time remains a significant question in cosmetic surgery: Does the most invasive surgery lead to the best long-term outcomes? This study aims to evaluate the authors’ approach using total platysma muscle transection to prevent platysma band recurrence, and to provide anatomical observations supporting and justifying their procedure.

Material and Methods

A preliminary study in anatomical basic sciences was conducted to establish the rationale for our method. A prospective single-blind study was conducted, involving eighty patients seeking facial rejuvenation with platysmal band correction. They underwent face and neck-lift procedures with total platysma transection by the same surgeon between May 2013 and May 2016. Cosmetic outcomes were assessed using the Face and Neck-Lift Objective Photo-Numerical Assessment Scale. Scores by three blind evaluators before surgery, at 1 and 5 years postoperatively, were compared using a matched T Test (p < 0.05).

Results

The preliminary anatomical study revealed a consistent anastomotic system between the cervical branch of the facial nerve and the branches of the cervical plexus. Incomplete platysma section during a facelift might contribute to platysma band recurrence. The clinical study demonstrated satisfactory outcomes, with significant overall appearance improvement (p < 0.00001) and no platysma band recurrence. Complication rate was low.

Conclusion

The authors’ technique achieved satisfactory long-term results with minimal complications. However, due to the lengthy operating time and steep learning curve, it should be reserved for highly motivated patients.

Level of Evidence II

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Appendix
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Metadata
Title
Facelift: Assessment of Total Platysma Muscle Transection to Prevent the Recurrence of Platysmal Bands
Authors
Jean-Paul Meningaud
Rosita Pensato
Virginie Pineau
Luca D’Andrea
Chiara Pizza
Edoardo Coiante
Barbara Hersant
Simone La Padula
Publication date
22-09-2023
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 2/2024
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-023-03664-w

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