Clinica Gomez Bravo, Claudio Coello 76, Madrid 28001, Spain.
Clin Plast Surg. 2022 Apr;49(2):257-273. doi: 10.1016/j.cps.2021.12.002.
Specialists seeking successful outcomes in male facial rejuvenation must be able to achieve adequate results in the neck and submental region to provide their patients with balanced and natural results. A thorough understanding of male jawline and neck surface aesthetics is described and its relevance to perceived age, attractiveness, and body mass index is presented. The neck lift technique described is based on the pursuit of 2 distinct objectives managed independently: (1) Volume contouring or reduction, which is mainly accomplished in the deep structures of the neck beneath the platysma and (2) superficial redraping, which consists of the management of the platysma itself and of the overlying subcutaneous fat and skin under minimal tension. A dual-plane approach to the neck is used, meaning 2 different dissection planes are carried out. In the area cranial to the submandibular-cervical junction line (ie, submandibular segment), a plane is developed both superficial and deep to the platysma, while in the area caudal to this line (ie, cervical segment), dissection is carried out only deep to the platysma, leaving the muscle attached to its overlying skin. A description of the technique is presented as well as its complications and indications for surgical neck enhancement.
寻求男性面部年轻化成功结果的专家，必须能够在颈部和颏下区域达到足够的效果，为患者提供平衡和自然的结果。本文详细描述了男性下颌线和颈部表面美学，并介绍了其与年龄感知、吸引力和身体质量指数的相关性。所描述的颈部提升技术基于对 2 个不同目标的追求，这 2 个目标独立管理：（1）体积轮廓或减少，主要在颈阔肌下的颈部深层结构中完成；（2）浅层重新覆盖，包括颈阔肌本身及其上覆的皮下脂肪和皮肤的管理，张力最小。采用双平面方法进行颈部手术，这意味着进行 2 种不同的解剖平面。在颌颈交界处（即下颌段）线以上的区域，在颈阔肌的浅层和深层都形成一个平面，而在这条线以下的区域（即颈段），只在颈阔肌的深层进行解剖，使肌肉附着在其上方的皮肤上。本文还介绍了该技术的描述及其并发症和手术颈部增强的适应证。
