Ellenbogen R, Karlin J V
Plast Reconstr Surg. 1980 Dec;66(6):826-37. doi: 10.1097/00006534-198012000-00003.
We have suggested visual criteria for achieving and assessing success in platysma cervical lift. We believe it is now possible to satisfy these criteria in most patients, even those with a low-lying hyoid. Anterior adjustment of the platysma is more important for desirable results than posterior adjustment or posterior closure alone. If present in a heavy neck, the subplatysma fat pocket must be excised. A posterior submental incision as well as a more radical submental lipectomy with platysma sling (submental neck lift) is helpful for patients who are not yet candidates for an upward lift. The cutting of the platysma and fashioning of the sling, as well as defatting, may possibly add to the longevity of the lift, but this can be ascertained only by long-term follow-up.
我们已经提出了在颈阔肌颈部提升术中实现和评估成功的视觉标准。我们相信，现在大多数患者甚至是舌骨位置较低的患者都有可能满足这些标准。对于获得理想效果而言，颈阔肌的前部调整比单独的后部调整或后部闭合更为重要。如果颈部脂肪较多，必须切除颈阔肌下脂肪袋。对于尚不适合向上提升的患者，颏下后切口以及更彻底的颏下脂肪切除术联合颈阔肌吊带术（颏下颈部提升术）会有所帮助。颈阔肌的切断、吊带的塑形以及去脂操作可能会延长提升效果的持续时间，但这只能通过长期随访来确定。
