Liposuction and Surgical Recontouring of the Neck: A Retrospective Analysis

Liposuction and Surgical Recontouring of the Neck: A Retrospective Analysis
Issue online:
24 Dec 2001
To cite this article: Carolyn I. Jacob MD, Beatrice J. Berkes MD, Michael S. Kaminer MD (2000)
Liposuction and Surgical Recontouring of the Neck: A Retrospective Analysis
Dermatologic Surgery 26 (7), 625Ò632.
doi:10.1046/j.1524-4725.2000.00021.x
Blackwell Synergy

Carolyn I. Jacob, MD, Beatrice J. Berkes, MD, and Michael S. Kaminer, MD

Beth Israel Deaconess Medical Center, Cosmetic Surgery and Laser Center, Boston, Massachusetts
C.I. Jacob, MD, B.J. Berkes, MD, and M.S. Kaminer, MD have indicated no significant interest with commercial supporters.

Address correspondence and reprint requests to: Michael S. Kaminer, MD, Harvard Medical School, 1244 Boylston St., Suite 302, Chestnut Hill, MA 02467.

Abstract
Background. With the advent of tumescent liposuction, many advances in cosmetic surgery have occurred. Liposuction of excess adipose tissue from the submental area, jowls, and neck, along with cold steel surgery, has become an attractive alternative to the facelift for cervicomental aesthetic surgery.

Objective. To describe new techniques for tumescent neck liposuction, platysma repair, and subcutaneous musculoaponeurotic system plication, evaluate results, and assess complications with the procedures.

Methods. We reviewed the results of the last 35 patients who underwent neck liposuction, simultaneous platysma plication, subdermal CO2 laser resurfacing, and/or subcutaneous musculoaponeurotic system plication at our institution.

Results. Three of 35 patients (9%) experienced mild complications from the procedure. Two of the three complications (66%) were in patients who underwent subdermal and/or platysma laser resurfacing at the time of liposuction. Good to excellent results were achieved in 91% of patients and fair to good results were achieved in 9%. No major complications such as nerve injury occurred.

Conclusion. Neck liposuction can be a safe method for facial rejuvenation when performed properly. Platysma repair, and in some cases subcutaneous musculoaponeurotic system plication, can further improve results when combined with the liposuction procedure.

Blackwell Synergy? is a Blackwell Publishing, Inc. registered trademark

You can view the abstract online. A subscription is required to view the full text or it can be purchased online.