Double Bay Day Surgery, 20 Manning Road, Double Bay, NSW, 2028, Australia.
Aesthetic Plast Surg. 2012 Feb;36(1):28-40. doi: 10.1007/s00266-011-9772-2. Epub 2011 Jul 26.
Over a 5-year period, my technique of approaching and modifying the aging neck has changed from direct suturing of the medial platysma bands and strong posterior traction of the platysma to superior elevation of the posterior platysma and strong fixation to the tympanoparotid fascia. When indicated, redundant anterior platysmal bands are resected instead of approximated. Evaluation of these anterior bands preoperatively for thickness and degree of descent allows more precise decision-making regarding the need to resect redundant and excessively thick or long anterior platysmal bands. The added advantage of the strong fixation of the platysma in a vertical fashion to Loré's fascia (the tympanoparotid fascia) leads not only to an improvement in the contour of the jawline and submental area but also to the undervalued aesthetic feature of a defined contour and visually increased length of the sternomastoid muscle.
在过去的 5 年中，我在处理和改善颈部老化方面的技术已经从直接缝合颈阔肌内侧带并对颈阔肌进行强有力的后向牵引，转变为提升颈阔肌后上部并将其牢固地固定到颞下颌筋膜上。如果需要，会切除多余的颈前阔肌带，而不是将其靠拢。在术前对这些颈前阔肌带的厚度和下降程度进行评估，可以更精确地决定是否需要切除多余的、过厚或过长的颈前阔肌带。将颈阔肌以垂直方式牢固地固定到洛雷氏筋膜（颞下颌筋膜）上的优势不仅在于改善了下颌线和颏下区域的轮廓，而且还提升了胸锁乳突肌的轮廓清晰度和视觉上的长度这一被低估的美学特征。
