Simple management of the neck platysma bands: a technique

Authors

  • Clarós Pedro Department of ENT, Clínica Clarós, Barcelona http://orcid.org/0000-0002-7567-0370
  • Sobolewska Aleksandra Department of ENT, Clínica Clarós, Barcelona, Spain
  • Clarós Andrés Department of ENT, Clínica Clarós, Barcelona, Spain

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20204206

Keywords:

Platysma bands, Aesthetic, Plastic surgery

Abstract

The aging effect of the neck is characterized by loss of elasticity and contractility of the skin. This aging is manifested clinically by the projection of the platysma bands, the redundancy of the skin, the accumulation of fat in the sub-mental, sub-mandibular regions, and the loss of the cervical-mental angle. Besides of face-lifting, there are other techniques for solving the aesthetic problems of platysma bands. This report aims to present our technique of the simple management of the platysma bands. We report our experience with the correction of platysma bands. The procedure is performed under local anaesthesia. The incision involves the skin and subcutaneous tissue; going from the lateral to the medial edge of the platysma band without cutting the muscle. The dissection of the muscle is continued to the deep side of the bands. This dissection is meticulous to preserve the superficial facial anastomotic plexus and the branch of the transverse cervical nerve afterward the muscle is cut. The technique mainly concerns individuals between the 4th and 6th decades. Women appear to be more concerned about the aesthetic appearance of their neck than men are. This technique is a simple surgical method, and in the majority of the cases, the results are satisfactory. It can be used alone or combined with face lifting. The technique of aesthetic treatment of platysma bands is a simple, effective surgical procedure and in most cases, the results are satisfactory.

Author Biography

Clarós Pedro, Department of ENT, Clínica Clarós, Barcelona

Otorhinolaryngology

References

Havelock T, Teoh R, Laws D, Gleeson F. Pleural procedures and thoracic ultrasound: British Thoracic Society pleural disease guideline 2010. Thorax. 2010;65:61-76.

Cunningham JP, Knott EM, Gasior AC, Juang D, Snyder CL, St Peter SD, et al. Is routine chest radiograph necessary after chest tube removal? J Pediatr Surg. 2014;49:10:1493-5.

Low DE, Allum W, Manzoni G, Ferri L, Immanuel A, Kuppusamy M, et al. Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations. World J Surg. 2019;43(2):299-330.

Sepehripour AH, Farid S, Shah R. Is routine chest radiography indicated following chest drain removal after cardiothoracic surgery?. Interact Cardiovasc Thorac Surg. 2012;14(6):834-8.

Johnson B, Rylander M, Beres AL. Do X-rays after chest tube removal change patient management? J Pediatr Surg. 2017;52(5):813-5.

Tanveer K, Girish C, Romany D, Mallikarjuna S, Wade D. Is routine chest X-ray following mediastinal drain removal after cardiac surgery useful? Eur J Cardio-Thoracic Surg. 2008;34(3):542-4.

Kingma BF, Marges OM, Van Hillegersberg R, Ruurda JP. Routine chest X-rays after the removal of chest tubes are not necessary following esophagectomy. J Thorac Dis. 2019;11(5):799-804.

Goodman MD, Huber NL, Johannigman JA, Pritts TA. Omission of routine chest x-ray after chest tube removal is safe in selected trauma patients Am J Surg. 2009;199(2):199-203.

Mao M, Hughes R, Papadimos T, Stawicki S. Complications of chest tubes: a focused clinical synopsis Current Opinion in Pulmonary Medicine. 2015;21(4):376-86.

Cerfolio RJ, Bryant AS, Skylizard L, Minnich DJ. Optimal technique for the removal of chest tubes after pulmonary resection. J Thorac Cardiovasc Surg. 2013;145:1535-9.

Downloads

Published

2020-09-23

Issue

Section

Short Communication