The neck is an aesthetic unit for which a rejuvenation request is sometimes very targeted or often encompassed in a global surgical project of face-lift. To obtain a long lasting outcome, the plastic surgeon has to make a full, detailed, and exhaustive analysis of the neck in order to choose the best indication within the multiple surgical tools. A full clinical examination is the key point, every aspects are outlined.
I focus my didactic proposal on the reconstruction and tensioning of an anatomical structure of the cervical region: the suspensory ligament of the cervico-chin angle or CMAS ligament. Throughout the surgical procedure, I attach great importance to dissection and reinforcement and tensioning of this anatomical fibrillar structure located next to the first fold of the neck: the CMAS ligament. This collagen densification extends in depth from the penhyoid ligament to the surface by attaching itself to the dermis. It crosses the surface of the muscle platysma, making it digastric. The resetting of the CMAS ligament on the midline is achieved by the suture digastric stomachs In fact the CMAS ligament is fixed at the level of the reflection pulley of the digastric muscle. The CMAS ligament is then resized laterally by the platymaplasty whose key point is located at the same level on the outer edge of the platysma muscle. Knipper et al. emphasized the importance of laterally tensioning the platysma after attaching it to the median line.
During these 2 days, we will address the different stages of aging and ways to correct each stage:
1/ Reconstruction of CMAS by lateral repositioning
2/ Central fixation and lateral repositioning
3/ Reconstruction of the under chin region by digastric corset
4/ Using the Auersvald net to allow a better skin catching, limit the scar, avoid drainage and simplify the operative follow-up
What will you learn?
- To return to the anatomical bases which make it possible to understand the evolution of the structures of the neck with the age and thus its rejuvenation.
- The place of the CMAS (Suspension Ligament of the cervico-chin angle) in the rejuvenation of the neck
- The different stages of aging and ways to correct each stage
Live case observation, Video, Cadaver
Advantages of the procedure
The reconstruction of the CMAS ligament is for me the anatomical and didactic support of a large number of surgical proposals for the cervical lift.
Who is this course for?