Abstract
Background: Traditional procedures for the reduction of platysma bands can result in scarring and hardening of tissue in the submental region. Objective: A technique for serial notching of the platysma bands is described that is more effective and causes fewer complications than the traditional submental and midline approaches. Methods: The platysma bands are marked for incision; optimal results require multiple incisions with a distance of 3 to 4 cm between each incision. The muscle band is dissected and undermined, and notching is performed with an electrocautery. Suturing is necessary only if severe skin laxity is present; otherwise, Steri-strips for 3 to 4 days are sufficient. In most cases, submental lipoplasty is also necessary. Results: A series of 51 procedures performed over 14 months produced satisfactory results with no major complications. Conclusions: Serial notching is a good adjuvant to a neck lift or lower-face procedures, particularly in older patients. (Aesthetic Surg J 2001;21:412-417.)
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