IMCAS Americas 2019
Program

Objectives: Evaluation of the appropriate surgical technique for the treatment of the cervical region

Introduction: The cervical region is a target area for cosmetic defects due to aging, gravity, sun damage and lifestyle. An accurate physical examination is mandatory before planning the appropriate surgical treatment.

Materials / method: Apart from the rare cases of simple skin excess, we generally treat the platysma muscle by submental skin incision, at the level of the cervical angle, and removing the bands, if present, then performing a median suture. If fat is present, a liposuction if performed as well. We treat the SMAS by plication or flaps, performing the traction with 3-4 stiches 3/0 non-reabsorbable suture and a 4/0 resorbable running suture.
In the case of significant tissue relaxation in male, a treatment with skin incisions and « Z-plasty » of the cervical angle is performed.

Results: In our clinical experience, we noted that the treatment of the SMAS is mandatory to obtain a stable and long-lasting result. The direct treatment of platysma by submental approach is useful to achieve a pleasant cervical angle without recurrence of the bands.

Conclusion: In presence of severe skin and tissue laxity the facelift is the main surgical treatment for facial rejuvenation . The SMAS treatment rapresents a key point in order to obtain natural and stable results over time.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability