combined use of endoscopic deep and superficial cervical liposuction for neck rejuvenation

ABSTRACT

Blunting of the cervicomental angle with age is caused by progressive laxity of the skin and the subcutaneous tissues, along with proliferation of fatty deposits and platysma muscle banding. This contributes to loss of slender neckline associated with youth, often a primary point of concern for patients. The goals for cosmetic neck surgery are to achieve a youthful neckline by establishing a well-defined mandibular line and a sculptured mento-hyoid angle. Over the last four decades, many techniques have been advocated to manage this problem. The aim of the current study is to evaluate the combined use of endoscopic deep and superficial cervical liposuction for neck rejuvenation. Eleven patients with class IV and V neck according to Dedo's classification were included in this study. Deep and superficial liposuction using the microdebrider machine was done on all patients together with many ancillary procedures for face and neck rejuvenation. Patient and doctor satisfaction immediately and three months postoperatively were done. good results for neck rejuvenation were achieved in all patients with no record of hematoma, dimpling or facial asymmetry. The combined use of endoscopic deep and superficial cervical liposuction of the neck, is less traumatic and results in a more precise management of cervical fat compared to the conventional liposuction technique alone