Aesthetic Neck Surgery: Cervicoplasty
Aesthetic procedures are those that aim to correct the angle made up by mandible and neck or cervico mandibular angle.
Alterations or angle loss can be due to different causes and the corresponding treatments would be the following:
- Excess fat in neck or double chin: Liposculpture (Cervical liposculpture) is useful when treating young patients. Besides undergoing liposculpture, it is necessary for older patients, who suffer from sagging skin or from skin excess, to undergo cervical lifting in order to compensate skin excess.
- Receding chin or underdeveloped chin bone: corrected by solid silicone implant (Augmentation mentoplasty) or by bringing the chin bone forward.
- Hypertrophy and fibrous chin tissue fall or double chin: double chin resection of excess tissue, flaps and tissue plasties.
- Muscle alterations: can be due to low muscle insertion to mouth floor or hypertrophy (size augmentation) and sagging of the platysma muscle or platysma bands. Both cases require muscle manipulation. This is usually done during cervical lifting and it consists of a tightening of the neck’s platysma muscles to establish a better angle between the neck and jaw line or a resection and tightening of the muscle bands.
The procedure, if confined to this body area, can be performed under local anesthesia and on an outpatient basis, that is, the patient is not required to stay in the hospital overnight.
The resulting scar is hidden either under the chin or, sometimes, inside the mouth, where lower lip mucous and gum meet.
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- Pitanguy, I., et al.: mento senil hipoplástico asociado a adiposidade submentoniana, Rev. Bras. Cir. 63:217, 1973.