Facial Plast Surg 2005; 21(1): 3-10
DOI: 10.1055/s-2005-871757
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA. Tel: +1(212) 584-4662.

Anatomy of the Jawline, Neck, and Perioral Area with Clinical Correlations

Anurag Agarwal1 , 2 , Louis DeJoseph1 , 2 , William Silver1 , 2
  • 1Premier Image Cosmetic and Laser Surgery, P.A., Atlanta, Georgia
  • 2Emory University School of Medicine, Emory University Department of Otolaryngology-Head and Neck Surgery, Atlanta, Georgia
Further Information

Publication History

Publication Date:
29 June 2005 (online)


The dramatic rise in the number of cosmetic procedures performed during the past 5 years reflects a heightened public awareness of and interest in facial rejuvenation. Concomitant with this rise has been the addition of new injectable fillers, lasers, and minimal incision techniques to the surgeon’s armamentarium. Perhaps the greatest applicability of these modalities has been the rejuvenation of the perioral region, neck, and jawline, with reduced “downtime” but visible results. Signs of aging that are clearly visible in the lower third of the face include the loss of elasticity and descent of fat in the jowl region; laxity of the neck skin, muscle, and fat; development of perioral rhytids, deep nasolabial folds, and marionette lines; and the loss of definition of the lips. The purpose of this article is to highlight our approach to rejuvenation of these areas, elucidate the role of newer technologies, and provide special techniques and pearls utilized in rhytidectomy.

Anurag AgarwalM.D. 

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