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[BACKGROUND] The most common deformity of the ear or earlobe appearing after a facelift is the pixie ear deformity. [OBJECTIVES] The purpose of this study was to devise and exercise a method to prevent ear deformity, including pixie ear, w…

Aesthetic neck contouring is a key component to facial rejuvenation. To compare patient-reported symptoms after deep neck lift with versus without anterior digastric (AD) myectomy. Retrospective cohort of patients undergoing neck lift (Ju…

[BACKGROUND] This study was conducted to see if better scar results could be obtained by administering botulinum neurotoxin type A (BoNTA) injection and W-plasty incision for preventing rhytidectomy scar. [METHODS] All patients underwent e…

[BACKGROUND] Patients with severe neck skin laxity due to excess submental adipose tissue have required either standard rhytidectomy or direct excision of neck skin with Z-plasty and submental lipectomy. Our recent experiences with four pat…

[IMPORTANCE] Incision placement and design in rhytidectomy is critical for patient satisfaction. [OBJECTIVE] To evaluate the aesthetic outcome of W-plasty vs traditional straight-line (SL) trichophytic closure techniques on posterior occip…

Direct excision of the "turkey neck" skin fold with Z-plasty closure was introduced in the 1970s, but it has fallen out of favor in an era in which much emphasis is placed on minimizing visible scars. Although the newer techniques may effec…

[OBJECTIVES] Presentation and evaluation of results of the surgical technique of cervicofacial rhytidectomy used by the senior author (F.P.), using the classification of facial aging to determine the stage of pre- and postsurgical age. [ME…

[BACKGROUND] Skin and platysma muscle laxity in the cervicomental area is a surgical challenge. Several approaches are possible, including an extended facelift, platysmaplasty, and liposuction. Severe cases are difficult to treat, and a dir…

There is a subset of male patients that is troubled by redundant midline skin of the neck. Such patients may not be interested in having a face lift; they simply want elimination of the "turkey neck" appearance. Removal of redundant skin an…

[BACKGROUND] The ideal procedure for those patients with aging of the lower face and neck is a cervicofacial rhytidectomy. However, within this group is a subset of patients whose goals can be met with a lesser procedure. These patients mus…

An 18-year experience with the senior author's temporal incision is expounded. First, the existing sideburn is outlined with a marking pen. A sideburn is designed approximately 2 cm wide and 2 cm long, regardless of the extent of the existi…

Tumescent infiltration has been widely used in body-contouring surgery to facilitate dissection and reduce blood loss. Although its use in facial surgery has been suggested, there are presently no comparative studies of its efficacy. The ai…

[OBJECTIVE] To evaluate the surgical technique, cosmetic results, and complications of patients who underwent a midface-lift via a minimal-incision brow-lift performed by the senior author (E.F.W.). [SETTING] Private, ambulatory surgical c…

A 30-year-old woman with known pseudoxanthoma elasticum was referred for surgical correction of extensive loose neck skin. She underwent a standard rhytidectomy, which produced minimal improvement. Revision surgery using a vertical elliptic…

In selected patients, particularly males, redundancy of skin of the neck can be treated effectively by direct excision and a single large Z-plasty closure so that the horizontal portion corresponds to the neck crease. Reduction of the thyro…

Prominauris is the most common congenital ear deformity, presenting in 5 % of the global population, and most patients endorse negative experiences or aesthetic dissatisfaction as motivation for corrective otoplasty. Mustarde-Furnas is a po…

Lying ears are defined as ears that protrude less from the head, and in frontal view, are characterized by lateral positioning of antihelical contour relative to the helical rim. These aesthetically displeasing ears require correction in ac…

The authors report 3 cases (including 2 recurrences) of congenital median cervical clefts (fold and fistula). Based on a review of the literature, they recall the principal clinical features of these lesions. The modalities and results of s…

Midline cervical cleft and webbing is a rare congenital anomaly of the neck. A series of 4 cases is reported, among which 2 relapses. The neonatal diagnosis of the deformation leads to a surgical treatment for the first two years, associati…

[BACKGROUND] The major goal of scar revision is to make the scar aesthetically more acceptable. The injection of botulinum toxin type A is known to help in improving the outcomes of scars by reducing the tension across the wound edges and b…