Denervation Neck Lift: An Updated Rhytidectomy Technique and Prospective Follow-Up of 80 Patients

Abstract

Introduction

Platysma bands are caused by excessive muscular activity and a novel threefold approach (denervation, platysmaplasty, and skin resection) was developed to minimize recurrence.

Objective and Hypotheses

To investigate the efficacy, tolerability, and satisfaction of this new technique in a larger cohort.

Study Design

A total of 80 patients were included in this prospective descriptive study and followed for 1 year.

Methods

Surgical platysma transection with intentional denervation was performed simultaneously with a primary rhytidectomy and recurrence, complications, and satisfaction were assessed.

Results

Platysma band recurrence occurred in 10% of patients all of whom were >63 years old. There were no major postoperative complications, with a total of 35 minor complications (in 43.7% of patients). Satisfaction scores were high for both patients and the surgeon 1 year after treatment, with Global Aesthetic Improvement Scale scores of 4.64 and 4.54, respectively.

Conclusion

This technique was effective and well tolerated, with low rates of recurrence and only minor complications.

Keywords

platysma band - denervation - platysmaplasty - surgical technique - cervical lifting

Authors' Contributions

All authors have seen and approved the manuscript.

Publication History

Accepted Manuscript online:
02 June 2025

Article published online:
17 June 2025

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