title: Liposuction and surgical recontouring of the neck: a retrospective analysis.
abstract: BACKGROUND
  With the advent of tumescent liposuction, many advances in cosmetic surgery have occurred. Liposuction of excess adipose tissue from the submental area, jowls, and neck, along with cold steel surgery, has become an attractive alternative to the facelift for cervicomental aesthetic surgery.
  
  
  OBJECTIVE
  To describe new techniques for tumescent neck liposuction, platysma repair, and subcutaneous musculoaponeurotic system plication, evaluate results, and assess complications with the procedures.
  
  
  METHODS
  We reviewed the results of the last 35 patients who underwent neck liposuction, simultaneous platysma plication, subdermal CO2 laser resurfacing, and/or subcutaneous musculoaponeurotic system plication at our institution.
  
  
  RESULTS
  Three of 35 patients (9%) experienced mild complications from the procedure. Two of the three complications (66%) were in patients who underwent subdermal and/or platysma laser resurfacing at the time of liposuction. Good to excellent results were achieved in 91% of patients and fair to good results were achieved in 9%. No major complications such as nerve injury occurred.
  
  
  CONCLUSIONS
  Neck liposuction can be a safe method for facial rejuvenation when performed properly. Platysma repair, and in some cases subcutaneous musculoaponeurotic system plication, can further improve results when combined with the liposuction procedure.
authors.affiliation: Beth Israel Deaconess Medical Center, Cosmetic Surgery and Laser Center, Boston, Massachusetts, USA.
authors.forename: C I
authors.initials: CI
authors.lastname: Jacob
authors.forename: B J
authors.initials: BJ
authors.lastname: Berkes
authors.forename: M S
authors.initials: MS
authors.lastname: Kaminer
mesh_terms: D000328:Adult; D000368:Aged; D003869:Dermabrasion; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies