Author Affiliations: Division of Facial Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minn (Drs Bitner and Friedman); Division of Facial Plastic Surgery, University of South Florida, Tampa (Dr Farrior); and Division of Facial Plastic and Reconstructive Surgery, Oregon Health Sciences University, Portland (Dr Cook).
Correspondence: Oren Friedman, MD, Division of Facial Plastic and Reconstructive Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (firstname.lastname@example.org).
Facial plastic surgeons commonly see patients with submental laxity and an excess of skin and fat in the upper neck. This has colloquially been called the “turkey gobbler” deformity. In some cases, this deformity is the patient's only aesthetic concern, and full face-lift surgery is not desired. In this study, we reviewed the English-language peer-reviewed literature for descriptions of direct excisional submentoplasty techniques. Various designs for skin excision and wound closure have been used by surgeons over the past several decades. This article summarizes the surgical technique as well as the advantages and disadvantages of each method. Furthermore, we propose an approach that incorporates many of the other designs but to our knowledge has not been described previously in the peer-reviewed literature. An understanding of these numerous approaches will better enable facial plastic surgeons to appropriately address and correct patient aesthetic concerns.
Bitner JB, Friedman O, Farrior RT, Cook TA. Direct Submentoplasty for Neck Rejuvenation. Arch Facial Plast Surg. 2007;9(3):194-200. doi:10.1001/archfaci.9.3.194