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Introduction
CHAPTER 79 Approaches to Neck
Rejuvenation
Hayes B. Gladstone Shannon Humphrey
SUMMARY
Restoration of a youthful neckline is arguably one of the most critical aspects of
achieving overall aesthetic balance.
Multiple intrinsic and extrinsic factors including genetics, photodamage and
gravity contribute to aging in the neck.
Combination treatments may ultimately yield better outcomes for many patients.
Beginner Pearls
Loss of definition along the jawโan invariable effect of changing anatomy over time
โmay be improved via the Nefertiti Lift.
Microbotox is another useful technique for improving the overall appearance of the
neck.
Expert Tips
For optimal restoration and multilevel cosmetic revitalization, dilute fillers are
frequently combined with light- or energy-based modalities that stimulate tissue contraction and subsequent tightening.
Neck liposuction using tumescent anesthesia will dramatically improve the
cervicomental angle and create a pleasing contour.
Donโt Forget!
Combination treatments may offer the best solution for neck rejuvenation.
Plication sutures may be very useful to maximize and maintain lift.
Pitfalls and Cautions
Laser resurfacing on the neck should be performed with caution due to the lack of
pilosebaceous units and the attendant increased risk of scarring.
There have been reports of scarring even with a fractional CO2 laser.
Patient Education Points
There is typically a tradeoff between the amount of downtime associated with a
procedure and its efficacy.
Patients should understand that many treatments used for neck rejuvenation will need
to be repeated on a regular basis.
Patients should ideally see neck rejuvenation as one component of a global approach
to facial rejuvenation.
CHAPTER 79 Approaches to Neck