Serial notching of the platysma bands.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 19331922.
- Also identified by DOI 10.1067/maj.2001.119710.
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Abstract
Traditional procedures for the reduction of platysma bands can result in scarring and hardening of tissue in the submental region. A technique for serial notching of the platysma bands is described that is more effective and causes fewer complications than the traditional submental and midline approaches. The platysma bands are marked for incision; optimal results require multiple incisions with a distance of 3 to 4 cm between each incision. The muscle band is dissected and undermined, and notching is performed with an electrocautery. Suturing is necessary only if severe skin laxity is present; otherwise, Steri-strips for 3 to 4 days are sufficient. In most cases, submental lipoplasty is also necessary. A series of 51 procedures performed over 14 months produced satisfactory results with no major complications. Serial notching is a good adjuvant to a neck lift or lower-face procedures, particularly in older patients. (Aesthetic Surg J 2001;21:412-417.).