0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
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.
Text Size: A A A
Published online

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.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Figures

Place holder to copy figure label and caption
Figure.
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.

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

331 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Lifting the malar fat pad for correction of prominent nasolabial folds. Plast Reconstr Surg 1993;91(3):463-74; discussion 475-6.
Jobs
brightcove.createExperiences();