Lower Facial Rejuvenation: A Comprehensive Guide

Guest edited by renowned experts Shai Rozen, MD, FACS, and Lisa E. Ishii, MD, MHS, this issue of Clinics in Plastic Surgery delves into the intricacies of lower facial rejuvenation. The publication presents a multidisciplinary approach, covering a wide range of topics that are essential for both novice and experienced practitioners in the field of plastic surgery.

Deep Neck Anatomy

Understanding the deep neck anatomy is crucial for any successful lower facial rejuvenation procedure. This section provides an in-depth analysis of the anatomical structures involved, offering insights into the complex relationships between muscles, nerves, and blood vessels in the neck region.

Neck Lift: Defining Anatomical Problems and Applying Logical Solutions

This section focuses on identifying and addressing anatomical issues that can affect the appearance of the neck. It outlines logical solutions for common problems, ensuring that practitioners can develop effective treatment plans tailored to their patients’ specific needs.

The Importance of Deep Structures in Neck Lift

The deep structures of the neck play a pivotal role in maintaining a youthful and aesthetically pleasing appearance. This chapter highlights the significance of these structures and provides guidance on how to preserve and enhance them during neck lift procedures.

A Graduated Approach to the Neck

A graduated approach to neck rejuvenation involves tailoring treatment to the individual’s specific needs and the severity of their condition. This section presents a step-by-step guide on how to assess and address various degrees of neck aging, from mild to severe.

Management of the Submandibular Gland in Neck Lifts

The submandibular gland is a critical structure in the neck that can significantly impact the overall appearance of the lower face. This chapter discusses the indications, techniques, pearls, and pitfalls of managing the submandibular gland during neck lift procedures.

Superficial vs. Deep Structures of the Neck

This section compares and contrasts the superficial and deep structures of the neck, emphasizing their distinct roles in maintaining neck aesthetics and function. Practitioners will gain a deeper understanding of how to effectively address both superficial and deep structures during rejuvenation procedures.

Noninvasive Methods for Lower Facial Rejuvenation

Not all patients require surgical intervention for lower facial rejuvenation. This chapter explores noninvasive methods that can achieve remarkable results without the need for surgery, including injectables, lasers, and other energy-based treatments.

Extended Deep Plane Rhytidectomy

The extended deep plane rhytidectomy is a surgical technique that targets the deeper tissues of the face and neck to achieve a more comprehensive rejuvenation. This section delves into the details of this procedure, including its indications, contraindications, and potential outcomes.

Management of Platysma in Neck Lift

The platysma muscle plays a crucial role in neck aesthetics, and its management is essential during neck lift procedures. This chapter discusses various techniques for addressing the platysma, from simple plication to more complex reconstruction methods.

Short Scar Neck Lift

The short scar neck lift is a minimally invasive approach that aims to rejuvenate the neck with minimal scarring. This section outlines the principles and techniques involved in this procedure, highlighting its benefits and limitations.

Perioral/Lip Rejuvenation: Surgical and Non-surgical

The perioral region, including the lips, is a critical area in lower facial rejuvenation. This chapter covers both surgical and non-surgical methods for rejuvenating the lips and surrounding tissues, providing practitioners with a comprehensive understanding of available treatment options.

Difficult Necks and Unsolved Problems in Neck Rejuvenation

Every patient presents with unique challenges, and the neck region is no exception. This section addresses common difficulties encountered during neck rejuvenation procedures and offers practical solutions to overcome these obstacles.

Complications and Revision Surgery of the Lower Face and Neck

While complications are rare, they can occur even in the most skilled hands. This chapter discusses common complications that may arise during lower facial and neck rejuvenation procedures and provides guidance on revision surgery techniques to correct these issues.

Gender Reassignment: Feminization and Masculinization of the Neck

Gender reassignment surgery is a growing area of interest in plastic surgery. This section focuses on the specific techniques and considerations involved in feminizing and masculinizing the neck, providing valuable insights for practitioners working with transgender patients.