The Fate of Fogli's Lore's Fascial Platysma Fixation Optimalising the Results of Fogli's Neck Lift Procedure

Aesthetic Plastic Surgery
Darryl J Hodgkinson

Abstract

The author has modified previously described techniques of the superior suspension of the platysma muscle to Lore's fascia by developing an auriculoplastysmal fascial flap, which detaches the posterior platysma from its retaining ligaments to the sternomastoid muscle. Anterior to this flap, the platysma muscle is undermined and suture captured with three throws of a permanent 2.0 Tevdek suture. This suture and its three throws are fixed anterior to the tragus, which includes Lore's fascia and on tightening elevates the whole of the anterior neck as well as defines the cervicomental angle. A separate submental dissection may be required to assess and deal with pathology and resect excessive laxity of the platysma which has not been adequately addressed by the lateral superior traction suturing technique. Follow-up of fifteen cases of secondary facelift surgery with recurrent neck laxity demonstrated the fate of the suturing to Lore's fascia. The permanent knot at the pre-tragal fixation point descended approximately 3 cm from the original position at the pre-tragal region. Secondary surgery is facilitated by capture of the knot and re-suturing it to its original primary position, restoring the neck to the approximate pre-operati...Continue Reading

References

Jan 1, 1989·Plastic and Reconstructive Surgery·D W Furnas
Feb 29, 2008·Aesthetic Plastic Surgery·A L Fogli
Jun 4, 2008·The Journal of Craniofacial Surgery·Kun HwangSeung Ho Han
Dec 1, 2009·Aesthetic Surgery Journal·Fritz E Barton
May 14, 2010·Plastic and Reconstructive Surgery·Bahman GuyuronRouzbeh Ahmadian
Jul 3, 2010·Plastic and Reconstructive Surgery·Val Lambros, James M Stuzin
Jul 27, 2011·Aesthetic Plastic Surgery·Darryl J Hodgkinson
Dec 22, 2011·Plastic and Reconstructive Surgery·Tom S Liu, John Q Owsley
Nov 30, 2012·Plastic and Reconstructive Surgery·Barry M Jones, Steven J Lo
Jun 17, 2016·Plastic and Reconstructive Surgery·Mario Pelle-CeravoloErminia Silvi
Jun 28, 2016·Plastic and Reconstructive Surgery·Rod J Rohrich, Kailash Narasimhan
Sep 15, 2016·Plastic and Reconstructive Surgery·Patrick Trévidic, Gisella Criollo-Lamilla
Mar 30, 2017·Plastic and Reconstructive Surgery·Ronnie A PezeshkRod J Rohrich

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Citations

Jan 23, 2021·Aesthetic Plastic Surgery·Darryl Hodgkinson

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