Medial Approximation of the Platysma Muscle in the Treatment of Neck Deformities

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Abstract
The platysma muscle is a key to the correction of neck deformities. Apparently, the decussation of the medial fibers of the platysmal muscle is critical to the support of the submental region and is a factor in the pleasing angle between the neck and the chin. Approximation of the medial borders of the platysma was described in combination with other direct approaches to the anterior neck or with aggressive repositioning or flaps of the platysma. In the treatment of neck deformities pleasing results were achieved in a variety of clinical situations by medial approximation of the platysma through a short submental incision without other manipulations of the platysma and without complications in 45 patients. All were followed for more than 1 yr.

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