ABSTRACT
INTRODUCTION With the advent of tumescent liposuction, many advances in cosmetic surgery have occurred. Liposuction of excess adipose tissue from the submental area, jowls, and neck, along with cold steel surgery, have become attractive alternatives to the face-lift for cervicomental aesthetic surgery. Effects of time, sun damage, and gravity can include increased deposition of fatty tissue in the submental area, sagging jowls, and neck skin redundancy with or without banding of the platysma muscle. This often gives the appearance of excessive weight gain or aging to an otherwise healthy person. The traditional approach to these patients has been face-lift surgery, but with the introduction of tumescent anesthesia, neck liposuction has evolved as a safe procedure to enhance the appearance of the neck and jawline in such individuals. Many variations and additions to neck liposuction have been employed. These include concomitant simple platysma plication; the Corset Platysma repair; simple platysma plication with carbon dioxide resurfacing
of the platysma and dermis (Weekend Alternative to the Facelift) [1]; and a combination of neck liposuction, platysma plication, and subcutaneous musculoaponeurotic system (SMAS) plication.
