Fattahi Tirbod
Division of Oral & Maxillofacial Surgery, University of Florida Health Science Center, Jacksonville, FL 32209, USA.
J Oral Maxillofac Surg. 2012 Dec;70(12):2854-8. doi: 10.1016/j.joms.2012.01.034. Epub 2012 Apr 10.
Esthetic rejuvenation of the submental area is a fairly common concern of patients seeking cosmetic surgery. There are several techniques used to obtain esthetic results. A common dilemma is the proper determination as to which procedure, liposuction versus formal cervicoplasty, is more appropriate. This manuscript describes the factors involved in the aging process of the submental area, as well as the inherent advantages of formal cervicoplasty over liposuction.
A comprehensive review of the intrinsic and extrinsic aging process is described, and advantages and disadvantages of liposuction as well as cervicoplasty are detailed.
On the basis of the specific factors leading to the fullness of the anterior neck/submental area, proper rejuvenation technique must include platysmaplasty, in addition to liposuction. Isolated liposuction is only beneficial in an isolated group of cosmetic patients.
Formal cervicoplasty, including open liposuction and platysmaplasty, is a superior operation compared with isolated liposuction of the submental area. Whereas liposuction does have a role in cosmetic surgery of the submental area, it is not a comprehensive procedure and does not address all of the anatomic components leading to submental fullness.
颏下区域的美容年轻化是寻求整形手术的患者相当普遍关注的问题。有几种技术可用于获得美容效果。一个常见的难题是正确确定哪种手术，即抽脂术与正规的颈部成形术，更为合适。本文描述了颏下区域衰老过程中涉及的因素，以及正规颈部成形术相对于抽脂术的固有优势。
描述了对内在和外在衰老过程的全面综述，并详细阐述了抽脂术和颈部成形术的优缺点。
基于导致前颈部/颏下区域饱满的特定因素，除抽脂术外，适当的年轻化技术必须包括颈阔肌成形术。单纯抽脂术仅对一组特定的美容患者有益。
包括开放式抽脂术和颈阔肌成形术在内的正规颈部成形术，与单纯的颏下区域抽脂术相比是一种更优的手术。虽然抽脂术在颏下区域的整形手术中确实有一定作用，但它不是一个全面的手术，不能解决导致颏下饱满的所有解剖结构问题。
