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The evaluation of the effects of midline platysmaplasty concomitant with rhytidectomy.
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.
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.
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
Jacono AA, Malone MH. The Effect of Midline Corset Platysmaplasty on Degree of Face-lift Flap Elevation During Concomitant Deep-Plane Face-liftA Cadaveric Study. JAMA Facial Plast Surg. 2016;18(3):183-187. doi:10.1001/jamafacial.2015.2174