{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T16:48:12Z","timestamp":1773161292583,"version":"3.50.1"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Direct submentoplasty remains a valuable alternative to rhytidectomy in male patients, addressing cervical laxity and fullness while avoiding feminization, periauricular scars, and prolonged recovery associated with traditional rhytidectomy.<\/jats:p>\n                  <jats:p>Since the early 20th century, submental skin excision has undergone refinement, progressing from horizontal ellipses to advanced configurations such as the Grecian urn pattern. These modifications aim to optimize scar camouflage while correcting horizontal and vertical redundancy.<\/jats:p>\n                  <jats:p>Key anatomic contributors to cervical aging include skin and platysmal laxity, supra- and subplatysmal fat, anterior belly of the digastric hypertrophy, ptotic submandibular glands, and a low-lying hyoid. Comprehensive preoperative analysis is required to address these factors.<\/jats:p>\n                  <jats:p>For patients presenting with submental fullness accompanied by good skin elasticity and minimal skin laxity, an isolated deep structural neck lift without skin excision may be sufficient. Optimal candidates for direct cervicoplasty (skin excision) demonstrate submental laxity limited to above the thyroid cartilage, minimal jowling, and acceptance of an anterior cervical scar.<\/jats:p>\n                  <jats:p>The isolated deep structural neck lift addresses the platysma and its underlying structures without the need for skin excision. A direct cervicoplasty with skin excision affords wide exposure for addressing the skin, platysma, and the subplatysmal anatomy. Skin excision patterns are varied and tailored to the patient's needs.<\/jats:p>\n                  <jats:p>Scar modulation strategies, drain management, lymphatic assistance with positioning\/massage, and salivary flow management are key to a hastened recovery.<\/jats:p>\n                  <jats:p>Direct submentoplasty remains an essential tool in the aging male patient, offering reproducible results in appropriately selected patients who are willing to accept its limitations.<\/jats:p>","DOI":"10.1055\/a-2708-5392","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T23:24:13Z","timestamp":1758756253000},"page":"198-206","source":"Crossref","is-referenced-by-count":0,"title":["Direct Neck Lift in Men"],"prefix":"10.1055","volume":"42","author":[{"given":"Parker A.","family":"Velargo","sequence":"additional","affiliation":[{"name":"New Orleans Center for Aesthetics and Plastic Surgery, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C.","family":"Holtrop","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine, Department of Plastic Surgery, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William D.","family":"Aukerman","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine, Department of Plastic Surgery, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vidhur R.","family":"Sohini","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine, Department of Plastic Surgery, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,10,7]]},"reference":[{"key":"ref4","volume-title":"Neck Rejuvenation","author":"P P\u00e9rez","year":"2025"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1097\/01.prs.0000209406.80690.9f","article-title":"Neck rejuvenation revisited","volume":"118","author":"R J Rohrich","year":"2006","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1055\/s-0034-1383553","article-title":"Direct cervicoplasty","volume":"30","author":"J R Jordan","year":"2014","journal-title":"Facial Plast Surg"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1097\/00006534-198012000-00003","article-title":"Visual criteria for success in restoring the youthful neck","volume":"66","author":"R Ellenbogen","year":"1980","journal-title":"Plast Reconstr Surg"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1093\/asj\/sjaa099","article-title":"Anterior approach to the neck: Long-term follow-up","volume":"41","author":"A L Kochuba","year":"2021","journal-title":"Aesthet Surg J"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.fsc.2024.02.004","article-title":"Direct neck lift for men","volume":"32","author":"J T Gu","year":"2024","journal-title":"Facial Plast Surg Clin North Am"},{"key":"ref10","first-page":"321","article-title":"Is the surgical restoration of the aged face justified? Indications, method of repair, end result","volume":"135","author":"J W Maliniak","year":"1932","journal-title":"Med J Rec"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1097\/00006534-195502000-00005","article-title":"The problem of the aging face","volume":"15","author":"J B Johnson","year":"1955","journal-title":"Plast Reconstr Surg"},{"issue":"06","key":"ref12","first-page":"1761","article-title":"The \u201canterior-only\u201d approach to neck rejuvenation: an alternative to face lift surgery","volume":"115","author":"J E Zins","year":"2005","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1097\/00006534-199601000-00036","article-title":"Excision of neck redundancy with single Z-plasty closure","volume":"97","author":"T A Miller","year":"1996","journal-title":"Plast Reconstr Surg"},{"key":"ref14","first-page":"216","article-title":"Cosmetic surgery of the face, 1: cosmetic surgery of the face (other than rhinoplasty)","volume":"16","author":"D Morel-Fatio","year":"1964","journal-title":"Mod Trends Plast Surg"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1001\/archotol.1990.01870060072013","article-title":"Submental W-plasty for correction of \u2018turkey gobbler\u2019 deformities","volume":"116","author":"T K Ehlert","year":"1990","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1001\/archotol.1993.01880140061011","article-title":"Use of submentoplasty to enhance cervical recontouring in face-lift surgery","volume":"119","author":"S W Perkins","year":"1993","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1097\/00006534-197106000-00002","article-title":"The T-Z-plasty for the male \u201cturkey gobbler\u201d neck","volume":"47","author":"T D Cronin","year":"1971","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1097\/01.PRS.0000146872.22610.E6","article-title":"Excision of redundant neck tissue in men with platysma plication and Z-plasty closure","volume":"115","author":"T A Miller","year":"2005","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1001\/archfaci.9.3.194","article-title":"Direct submentoplasty for neck rejuvenation","volume":"9","author":"J B Bitner","year":"2007","journal-title":"Arch Facial Plast Surg"},{"key":"ref20","first-page":"215","volume-title":"Surgical Principles in Face-lift: Instructional Courses","author":"R T Farrior","year":"1990"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1097\/00006534-199309000-00008","article-title":"Submental lipectomy with skin excision","volume":"92","author":"J M Hamilton","year":"1993","journal-title":"Plast Reconstr Surg"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2708-5392.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:05:43Z","timestamp":1773101143000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2708-5392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,24]]},"references-count":18,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,3,9]]},"published-print":{"date-parts":[[2026,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2708-5392","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,9,24]]},"published":{"date-parts":[[2025,9,24]]}}}