Lower Facial Rejuvenation: A Multispecialty Approach, An Issue of Clinics in Plastic Surgery

1st Edition, Volume 45-4 - September 30, 2018
Authors: Shai M. Rozen, Lisa Ishii
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 6 4 1 1 8 - 0
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 4 1 3 1 - 9

This issue of Clinics in Plastic Surgery, devoted to Lower Facial Rejuvenation, is guest edited by Shai Rozen, MD, FACS and Lisa E. Ishii, MD, MHS. This issue will address the… Read more

Lower Facial Rejuvenation: A Multispecialty Approach, An Issue of Clinics in Plastic Surgery

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This issue of Clinics in Plastic Surgery, devoted to Lower Facial Rejuvenation, is guest edited by Shai Rozen, MD, FACS and Lisa E. Ishii, MD, MHS. This issue will address the following topics from a multispecialty approach: Deep Neck Anatomy; Neck lift: Defining Anatomical Problems and Applying Logical Solutions; Neck Lift: The Importance of the Deep Structures of the Neck to the Successful Neck Lift; A Graduated Approach to the Neck; Management of the Submandibular Gland in Neck Lifts: Indications, Techniques, Pearls, and Pitfalls; Superficial vs. Deep Structures of the Neck; Noninvasive Methods for Lower Facial Rejuvenation; Extended Deep Plane Rhytidectomy; Management of Platysma in Neck Lift; Short Scar Neck Lift; Perioral/lip Rejuvenation: Surgical and Non-surgical; Difficult Necks and Unsolved Problems in Neck Rejuvenation; Complications and Revision Surgery of the Lower Face and Neck; and Gender Reassignment: Feminization and Masculinization of the Neck.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
Understanding Deep Neck Anatomy and Its Clinical Relevance
Key points
Introduction
Submental triangle
Submandibular triangle
Neck Lift: Defining Anatomic Problems and Choosing Appropriate Treatment Strategies
Key points
Introduction
Strategies for neck lift
Surgical planning in neck lift
Assessing anatomic basis of neck problems
Surgical technique
Postoperative care
Case examples
Summary
Reduction Neck Lift: The Importance of the Deep Structures of the Neck to the Successful Neck Lift
Key points
Introduction
Indications for management of deep structures
The successful neck lift
Managing the deep structures of the neck
Summary
Supplementary data
Management of the Submandibular Gland in Neck Lifts: Indications, Techniques, Pearls, and Pitfalls
Key points
Introduction
Consultation
Physical examination
Photographic analysis
Indications and learning curve
Treatment of the submandibular salivary glands
Neck layers and the subcutaneous undermining
Interplatysmal and interdigastric fat resection
Cervical triad
Hyoid repositioning
Partial resection and plication of the anterior bellies of the digastric muscles
Submandibular salivary gland capsule and the marginal mandibular nerve
Partial removal of the submandibular salivary gland
Relationship of facial artery and vein to the submandibular salivary gland
Intermediate digastric muscle tendon and submandibular salivary gland repositioning
Platysma corset
Postoperative findings
Hemostatic net
Summary
Supplementary data
Extended Deep Plane Facelift: Incorporating Facial Retaining Ligament Release and Composite Flap Shifts to Maximize Midface, Jawline and Neck Rejuvenation
Key points
Introduction
Relevant anatomy
Surgical technique
Summary
Management of the Platysma in Neck Lift
Key points
Fundamental concepts in the treatment of platysma irregularities
Recognizing the presence of prominent anterior belly of the digastric muscle
Summary
Noninvasive Methods for Lower Facial Rejuvenation
Key points
Introduction
Laser and light therapy
Radiofrequency
Ultrasound
Skin care
Combining surgical and nonsurgical modalities
Summary
Short Scar Neck Lift: Neck Lift Using a Submental Incision Only
Key points
Introduction
Short scar neck lift: definition
Who are the best candidates for short scar neck lift?
Short scar neck lift: the concept
Short scar neck lift: what about the extra skin?
Why not remove some skin from the submental incision?
Is it necessary to make a subplatysmal dissection and to remove subplatysmal fat and reduce the submandibular gland in all patients?
Why not perform a short scar neck lift on everybody?
Surgical technique
Postoperative care
Case examples
Summary
Surgical and Nonsurgical Perioral/Lip Rejuvenation: Beyond Volume Restoration
Key points
Volume enhancement
Alterations in lip contour
Rhytid improvement
Summary
Difficult Necks and Unresolved Problems in Neck Rejuvenation
Key points
Introduction
Most common difficult situations
Unsolved problems
Clinical examples with description of surgery required
The Avoidance and Management of Complications, and Revision Surgery of the Lower Face and Neck
Key points
Introduction
The importance of preoperative assessment in the avoidance of complications
Interventions used for the rejuvenation of the lower face and neck
General considerations for the care of the surgical patient
Problems after facial rejuvenation procedures: Avoidance, evaluation, and management
Discussion
Gender Reassignment: Feminization and Masculinization of the Neck
Key points
Introduction
Sexual dimorphisms of the anatomy
Noninvasive methods
Invasive methods
Rhytidectomy

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Lisa Ishii