It is encouraging to see others espouse the theory of tailoring the surgical procedure to correct the particular anatomic deformity instead of just doing the same facelift operation on each patient. In the article by Gibson and Perkins in this issue of the Archives,1 they have described the submentoplasty as an adjunct to redefine and rejuvenate the full cervicomental angle in selected patients who rebound with submental fullness in the first 6 to 18 months postoperatively. While I agree totally that something needs to be done in the submental area, I disagree with the timing of their procedure.
See also p 179.
The preoperative evaluation of the patient involves identification of the anatomic factors contributing to the cosmetic deformity. In the neck, the authors correctly state this can be skin, fat, muscle, or any combination thereof corresponding to the different classes of patient.2 However, they do not tailor
Perkins SW, Gibson FB, Dedo DD. The Use of Submentoplasty. Arch Otolaryngol Head Neck Surg. 1993;119(2):141. doi:10.1001/archotol.1993.01880140017003
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