Submental lipectomy with skin excision.

A new method of excision of submental skin and fat with modified Z-incision affords easy excision, wide exposure, and simple closure. Thirty-two patients over an 18-year period have had satisfactory results with inconspicuous scars. Modification of platysma muscles and subplatysmal fat excision are facilitated by the wide exposure. Use of this method has been limited to those cases in which a large submental fold is present in a patient who declines to have a regular rhytidectomy or in cases of residual submental redundancy after a complete rhytidectomy. Occasionally, a rhytidectomy is not sufficient.