title: The Effect of Midline Corset Platysmaplasty on Degree of Face-lift Flap Elevation During Concomitant Deep-Plane Face-lift: A Cadaveric Study.
abstract: OBJECTIVE
  The evaluation of the effects of midline platysmaplasty concomitant with rhytidectomy.
  
  
  OBJECTIVE
  To determine whether midline platysmaplasty limits the degree of lift during deep-plane face-lift.
  
  
  METHODS
  Deep-plane rhytidectomy was performed on 10 cadaveric hemifaces. The redundant skin for excision after performing the face-lift was measured with and without midline platymaplasty.
  
  
  METHODS
  Deep-plane rhytidectomy.
  
  
  METHODS
  The redundant skin was measured preauricularly in the vertical and horizontal dimension, and postauricularly after deep-plane face-lift and after adding a midline platysmaplasty.
  
  
  RESULTS
  Concomitant midline platysmaplasty significantly reduced the amount of lift during concomitant deep-plane rhytidectomy preauricularly in the vertical dimension by 40.5% (from 37.0 mm excess skin redraped to 22.0 mm) and postauricularly by 23.9% (from 40.6 mm excess skin redraped to 30.9 mm) (P < .001 and P < .001, respectively). The 19.7% reduction in the horizontal skin redraping after midline platysmaplasty (from 14.7 mm excess skin redraped to 11.8 mm) did not reach statistical significance (P = .15).
  
  
  CONCLUSIONS
  Concomitant midline corset platysmaplasty significantly limits the ability to lift the neck as well as the jawline and midface during rhytidectomy.
  
  
  METHODS
  NA.
authors: Section of Head, Facial Plastic, and Reconstructive Surgery, North Shore University Hospital Manhasset, New York, New York2Department of Facial Plastic Surgery, New York Eye and Ear Infirmary & Albert Einstein College of Medicine, New York, New York3New Y.
authors: Andrew A
authors: AA
authors: Jacono
authors: New York Center for Facial Plastic and Laser Surgery, New York.
authors: Melanie H
authors: MH
authors: Malone
mesh_terms: D002102:Cadaver; D006801:Humans; D009333:Neck / Q000601:surgery; D015361:Rhytidoplasty / Q000379:methods*; D012867:Skin; D000069259:Superficial Musculoaponeurotic System / Q000601:surgery*; D013524:Surgical Flaps