摘要

Objectives: Are plastysmal transection and salivary gland removal necessary? Introduction: Determining which facelift procedures yield the most long-term rejuvenating effects and stability over time is an important question in cosmetic surgery: does radical and invasive surgery produce the most long-lasting results? Materials / method: This is even more important with regards to weight loss sequelae as most of the time the tissues have lost their elasticity with subsequent recurrences. The experience of our team suggests that using a combination of various techniques (open lipectomy, myotomies and myomectomies, suspensions, regenerative medicine techniques, salivary glands and digastric muscles management,) appears to be essential to achieve satisfactory, lasting results. Results: The learning curve is a little longer, but it increases the efficiency and durability of the procedure while simplifying the follow-up. The necessity of platysmal transection and salivary gland removal depends on specific medical needs. Platysmal transection and salivary gland removal are often employed in cosmetic surgery to improve neck aesthetics. Conclusion: Both procedures should be considered after thorough consultation to evaluate the benefits and risks based on the patient’s health and treatment objectives.