The various pathologic conditions which can disrupt the esthetic integrity of the submental region are categorized, and a series of corrective procedures ranging from extensive lateral rhytidectomy, removal of skin and fat through the submental crease, up to extensive fat and skin excision followed by vertical closure and Z-plasties are described. The appropriate procedure is selected according to the condition present. A degree of latitude is available to the surgeon in determining which procedure to pursue.
Brennan HG, Parkes ML. Submentoplasty: Classification and Theoretical Outline of Management. Arch Otolaryngol. 1972;95(1):24–29. doi:10.1001/archotol.1972.00770080072005
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