Minimally invasive neck rejuvenation of moderate cervicomental laxity with polytetrafuoroethylene (PTFE) bands

Minimally invasive neck rejuvenation of moderate cervicomental laxity with polytetrafuoroethylene (PTFE) bands

Abstract

Background
Demand for short recovery and less invasive correction for moderate skin and soft tissue neck laxity is increasing, especially among younger patients. The current study aims to evaluate the feasibility of a short recovery and minimally invasive technique of polytetrafluoroethylene (PTFE) bands and minimal skin excision for moderate platysma and skin laxity.

Methods
Following periauricular incision, PTFE bands of dual mesh are customized for suture to the platysma and anchored to the mastoid, creating a neck artificial ligament (NAL). NAL is buried into the muscle and tightened, without modifying the superficial musculoaponeurotic system and platysma. Young patients with moderate platysma and skin laxity were enrolled. Outcome was measured in terms of complications, recovery time, and patient and clinician satisfaction (1 = very dissatisfied, 2 = dissatisfied, 3 = satisfied, and 4 = very satisfied).

Results
A population of 107 consecutive patients (94% female) was treated, January 2013–January 2017. Average patient age was 51 years (46–56). Complications were rare: 1 case of superficial epidermolysis (healed within 21 days) and 1 case of mild band infection (treated with antibiotics). At a mean follow-up of 16 months, average patient and clinician evaluations were satisfactory (average satisfaction: patient 3.2, clinician 3.1).

Conclusions
In young patients with moderate platysma and skin laxity, minimally invasive NAL avoids deep modifications of the superficial musculoaponeurotic system and platysma. Despite the relative short follow-up of this study, the low rate of complications, short recovery time, and acceptable patient and clinician satisfaction seem promising.

Level of Evidence: Level IV, therapeutic study.

Notes

Acknowledgements
The authors would like to thank Johanna Chester for her constructive criticism and editing of the manuscript.

Compliance with ethical standards

Funding
The authors received no financial support for the research, authorship, and publication of this article.

Conflict of interest
Alessandro Gennai and Giorgio d’Angelo declare that they have no conflict of interest.

Ethical approval
All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

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Copyright information
© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations
Alessandro Gennai
Centre of Clinical Research, Telemedicine and Telepharmacy, School of Medicinal and Health Sciences Products, University of Camerino, Camerino, Italy

Giorgio d’Angelo
STUDIO GENNAI, Bologna, Italy