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Original Investigation |

The Effect of Midline Corset Platysmaplasty on Degree of Face-lift Flap Elevation During Concomitant Deep-Plane Face-lift A Cadaveric Study

Andrew A. Jacono, MD1,2,3; Melanie H. Malone, MD3
[+] Author Affiliations
1Section of Head, Facial Plastic, and Reconstructive Surgery, North Shore University Hospital Manhasset, New York, New York
2Department of Facial Plastic Surgery, New York Eye and Ear Infirmary & Albert Einstein College of Medicine, New York, New York
3New York Center for Facial Plastic and Laser Surgery, New York
JAMA Facial Plast Surg. 2016;18(3):183-187. doi:10.1001/jamafacial.2015.2174.
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Importance  The evaluation of the effects of midline platysmaplasty concomitant with rhytidectomy.

Objective  To determine whether midline platysmaplasty limits the degree of lift during deep-plane face-lift.

Design, Setting, and Participants  Deep-plane rhytidectomy was performed on 10 cadaveric hemifaces. The redundant skin for excision after performing the face-lift was measured with and without midline platymaplasty.

Exposures  Deep-plane rhytidectomy.

Main Outcomes and Measures  The redundant skin was measured preauricularly in the vertical and horizontal dimension, and postauricularly after deep-plane face-lift and after adding a midline platysmaplasty.

Results  Concomitant midline platysmaplasty significantly reduced the amount of lift during concomitant deep-plane rhytidectomy preauricularly in the vertical dimension by 40.5% (from 37.0 mm excess skin redraped to 22.0 mm) and postauricularly by 23.9% (from 40.6 mm excess skin redraped to 30.9 mm) (P < .001 and P < .001, respectively). The 19.7% reduction in the horizontal skin redraping after midline platysmaplasty (from 14.7 mm excess skin redraped to 11.8 mm) did not reach statistical significance (P = .15)

Conclusions and Relevance  Concomitant midline corset platysmaplasty significantly limits the ability to lift the neck as well as the jawline and midface during rhytidectomy.

Level of Evidence  NA.

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Schematic Representation of Where the Excess Skin Was Measured After Deep-Plane Rhytidectomy With and Without Midline Platysmaplasty

Includes measurements of the skin redundancy in the preauricular face-lift flap in the vertical and horizontal dimensions, and the postauricular neck flap.

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