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George J. Bitar

George J. Bitar

Bitar Cosmetic Surgery Institute, USA

Title: Suture suspension neck lift: A versatile technique for long-term neck rejuvenation

Biography

Biography: George J. Bitar

Abstract

Aim: A very versatile, Reproducible and dependable technique to give both short and long-term improvement and rejuvenation of the neck is “Suture suspension neck lift”
Suture Suspension Technique: The neck is liposuctioned if necessary with a spatulated cannula, midline curvilinear submental incision is made and the excess skin posterior to the ears is excised in an elliptical fashion. The two platysmal bands are imbricated at the midline with prolene sutures. At the level of the hyoid bone, at the midline, a prolene suture is placed in a mattress suture at the medial edge of the platysma, interlocked with another prolene suture at the midline, placed in a similar fashion but as a vertical suture. Bothe sutures are free floating laterally. The ends of both sutures are tied to the left and right mastoid facsia respectively, creating an artificial ligament that suspends the platysma and creates a well-defined neck line. The skin is re-draped over drains and sutured.
Advantages: The suture suspension neck lift technique includes a post-auricular scar only, longevity, and ease of performance.
Conclusions: Suture suspension neck lift is safe, effective, and useful technique for improved neck contour results for the short and long term.