{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T17:04:12Z","timestamp":1758819852140},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T00:00:00Z","timestamp":1593648000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Aging skin and increased skin laxity is a prevalent concern of patients. Nonsurgical treatments, such as radiofrequency, are increasing in popularity due to decreased pain, downtime, and scarring. ThermiRF (Thermi, Irving, TX) is a subdermal radiofrequency treatment for tightening skin. When applying radiofrequency treatments to the neck, it is important to avoid ablating the marginal mandibular nerve and causing nerve trauma.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The purpose of this study was to locate and record the position of the marginal mandibular nerve in 72 patients undergoing subdermal radiofrequency skin tightening, to determine how often the nerve correlates to its textbook anatomic position.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Marginal mandibular nerves were located with a nerve stimulator and marked with the subject in both upright and recumbent positions. Photographs were taken and the nerve position in relation to the mandible was recorded.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The marginal mandibular nerve was in its correct anatomic position above the mandible in 18% of patients. Nerve position did not shift between the upright and recumbent positions. Only 10% of patients had left-right nerve symmetry.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>To avoid nerve injuries, nerve mapping prior to nonablative radiofrequency treatment is recommended. The marginal mandibular nerve is not always in its correct anatomic position or symmetric to the opposing side. Its location cannot be assumed from the textbook anatomic position or from a single-side mapping.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Level of Evidence: 4<\/jats:title>\n                  <jats:p \/>\n               <\/jats:sec>","DOI":"10.1093\/asj\/sjaa184","type":"journal-article","created":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T22:14:00Z","timestamp":1593728040000},"page":"218-223","source":"Crossref","is-referenced-by-count":5,"title":["Marginal Mandibular Nerve Mapping Prior to Nonablative Radiofrequency Skin Tightening"],"prefix":"10.1093","volume":"41","author":[{"given":"Gabriella A","family":"DiBernardo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barry E","family":"DiBernardo","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of Pittsburgh Dr DiBernardo is a Clinical Associate Professor, , Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Cook","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,7,2]]},"reference":[{"issue":"5","key":"2023012410153584600_CIT0001","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1111\/j.1524-4725.2010.01510.x","article-title":"Nonablative radiofrequency for skin rejuvenation","volume":"36","author":"Elsaie","year":"2010","journal-title":"Dermatol Surg."},{"issue":"1","key":"2023012410153584600_CIT0002","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s00266-010-9564-0","article-title":"Three-dimensional radiofrequency tissue tightening: a proposed mechanism and applications for body contouring","volume":"35","author":"Paul","year":"2011","journal-title":"Aesthetic Plast Surg."},{"issue":"3","key":"2023012410153584600_CIT0003","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1111\/j.1473-2165.2007.00322.x","article-title":"Adverse reactions after nonablative radiofrequency: follow-up of 290 patients","volume":"6","author":"de Felipe","year":"2007","journal-title":"J Cosmet Dermatol."},{"key":"2023012410153584600_CIT0004","volume-title":"Gray\u2019s Anatomy. 29th American ed","author":"Gray","year":"1976"},{"key":"2023012410153584600_CIT0005","first-page":"60","volume-title":"Color Atlas of Anatomy: A Photographic Study of the Human Body","author":"Rohen","year":"2011"},{"key":"2023012410153584600_CIT0006","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1055\/b-006-160953","volume-title":"Facial Danger Zones: Avoiding Nerve Injury in Facial Plastic Surgery","author":"Seckel","year":"2010"},{"issue":"3","key":"2023012410153584600_CIT0007","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1177\/1090820X11398352","article-title":"Bony anatomic landmarks to avoid injury to the marginal mandibular nerve","volume":"31","author":"Hazani","year":"2011","journal-title":"Aesthet Surg J."},{"issue":"2","key":"2023012410153584600_CIT0008","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1093\/asj\/sju054","article-title":"The relationship of the marginal mandibular nerve to the mandibular osseocutaneous ligament and lesser ligaments of the lower face","volume":"35","author":"Huettner","year":"2015","journal-title":"Aesthet Surg J."},{"issue":"9","key":"2023012410153584600_CIT0009","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1093\/asj\/sjw045","article-title":"Revisiting the topographic anatomy of the marginal mandibular branch of facial nerve relating to the surgical approach","volume":"36","author":"Yang","year":"2016","journal-title":"Aesthet Surg J."},{"key":"2023012410153584600_CIT0010","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1097\/00006534-196203000-00005","article-title":"Surgical anatomy of the mandibular ramus of the facial nerve based on the dissection of 100 facial halves","volume":"29","author":"Dingman","year":"1962","journal-title":"Plast Reconstr Surg Transplant Bull."},{"issue":"1","key":"2023012410153584600_CIT0011","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.cps.2013.09.002","article-title":"Nonexcisional, minimally invasive rejuvenation of the neck","volume":"41","author":"Mulholland","year":"2014","journal-title":"Clin Plast Surg."},{"issue":"5","key":"2023012410153584600_CIT0012","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1001\/archderm.144.5.666","article-title":"Looking older: fibroblast collapse and therapeutic implications","volume":"144","author":"Fisher","year":"2008","journal-title":"Arch Dermatol."}],"container-title":["Aesthetic Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/asj\/advance-article-pdf\/doi\/10.1093\/asj\/sjaa184\/33458308\/sjaa184.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/article-pdf\/41\/2\/218\/48843811\/sjaa184.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/article-pdf\/41\/2\/218\/48843811\/sjaa184.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,24]],"date-time":"2023-01-24T10:23:21Z","timestamp":1674555801000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asj\/article\/41\/2\/218\/5866665"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,2]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,7,2]]},"published-print":{"date-parts":[[2021,1,25]]}},"URL":"https:\/\/doi.org\/10.1093\/asj\/sjaa184","relation":{},"ISSN":["1090-820X","1527-330X"],"issn-type":[{"value":"1090-820X","type":"print"},{"value":"1527-330X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,2,1]]},"published":{"date-parts":[[2020,7,2]]}}}