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Necklift through a Submental Incision: Does it really work?
Christopher C. Surek
Carlos Ordenana
Isis Scomacao
Eliana F.R. Duraes
James E. Zins
Cleveland Clinic
2018-02-14
Presenter: Carlos Ordenana
Affidavit:
Dr. Surek has assembled the design, execution and write-up of this study under my mentorship. Data collection and interpretation was assisted by the other authors on this paper.
Director Name: James Zins
Author Category: Fellow Plastic Surgery
Presentation Category: Clinical
Abstract Category: Aesthetics
Introduction: The effectiveness of necklift through a submental incision is still questioned by some authors. The goal of this study was to assess the success of this operation for neck rejuvenation and to determine its utility in more severe patients with obtuse cervicomental angles.
Methods: A retrospective review of patients who underwent necklift through a submental approach was performed. Pre and post-procedure photographs were scrambled and then examined by independent evaluators in the profile and anterior-posterior view to grade the change in cervicomental angle based on the Knize (I-IV) scale. Evaluators were then asked to guess the patient's age in each photo. The validated apparent age assessment scale was used to calculate the reduction of apparent age following surgery.
Results: A total of 27 patients were evaluated. 42% of patients were graded as mild necks and 58% as moderate to severe necks pre-operatively. Average follow-up time was 24.7 months. There was an average apparent age reduction of 3.7 years between the pre and post-procedure photographs. In the moderate to severe neck patients there was a 1.5 grade improvement in the cervicomental angle following surgery and a 4.2 year age reduction.
Conclusions: Necklift through a submental approach is an effective operation in improving the cervicomental angle and reducing the apparent age of patients by 3.7 years on average. In more severe cases, there is a 4.2 year age reduction. The operation is a viable option for patients who desire neck improvement but do not want to undergo a lower facelift operation.
