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Stephen W. Perkins, MD; F. Brian Gibson, MD

Arch Otolaryngol Head Neck Surg. 1993;119(2):179-183.

Abstract
• A number of surgical techniques for recontouring the aging neck are available. Using liposuction and direct lipectomy, the surgeon can sculpt the jowl and submental contour. Posterior tightening of the ptotic platysma refines the submental area, while incisional or excisional techniques, along with midline plication, remove anterior banding. Despite these maneuvers, recurrent submental and cervical ptosis is noted in some patients. These individuals can benefit from a secondary submentoplasty, a submental tuck-up face-lift operation, usually within 6 to 18 months after their initial surgery. We have identified several reliable causes for a secondary submentoplasty. Submentoplasty as a planned second-stage surgery in certain patients allows achievement of more dramatic and long-lasting rejuvenation of the neck.

(Arch Otolaryngol Head Neck Surg. 1993;119:179-183)

Author Affiliations
From the Departments of Otolaryngology–Head and Neck Surgery, Indiana University, Indianapolis (Dr Perkins), and Vanderbilt University, Nashville, Tenn (Dr Gibson).

Footnotes
Accepted for publication September 15, 1992.

Presented at the spring meeting of The American Academy of Facial Plastic and Reconstructive Surgery, Palm Desert, Calif, April 11, 1992.

Reprint requests to 420 Lowell Dr SE, Suite 300, Huntsville, AL 35801 (Dr Gibson).

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