Abstract
Aims and Backgrounds
Aesthetic rejuvenation of the perioral, submental, and neck regions is a complex topic
with multiple different treatment approaches. Aging changes in the skin, muscles,
fat and soft tissue, and bones are driven by multiple internal and external factors.
To obtain the best cosmetic outcome, a deep understanding of the perioral, submental,
and neck region and proper patient evaluation are necessary. Here, we discuss the
process of evaluating patients and planning treatment for perioral, submental, and
neck rejuvenation.
Patient Selection
Patients presenting for evaluation of perioral, submental, and neck aging may have
multiple aesthetic complaints. The approach to evaluating patients should be comprehensive
and consistent. This involves careful history taking and consideration of medical
co-morbidities, a thorough evaluation of the skin, tone, dynamic movement, and soft-tissue
distribution of each subunit, and individualized pretreatment counseling to discuss
risks and set expectations.
Techniques
An individualized plan may consist of either nonsurgical, surgical or a combination
of approaches. Nonsurgical approaches excel at addressing aging skin, volume deficits,
and overactivation of facial musculature. Surgical approaches address more severe
manifestations of skin aging, uneven volume distribution, loss of contour in the jaw
and neck, and bony deformities.
Keywords
perioral rejuvenation - neck rejuvenation - facial aging - patient evaluation - treatment
planning
