Face lift with submandibular gland and digastric muscle resection: Radical neck rhytidectomy

The author discusses his view that the risks of aggressive subplatysmal surgery are not balanced by substantial benefits. He emphasizes that aesthetic standards for neck contouring should not be based upon unrealistic criteria for the “youthful neck” but modified according to each patient's unique physiognomy. He stresses the need for reporting of large case series, standardized evaluation and surgical technique, and accurate data on complications of aggressive subplatysmal surgery before surgeons embrace these radical contouring techniques.