{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T00:02:59Z","timestamp":1793232179920,"version":"4.5.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Aesthetic neck contouring is a key component to facial rejuvenation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare patient-reported symptoms after deep neck lift with versus without anterior digastric (AD) myectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective cohort of patients undergoing neck lift (July 2020\u2013December 2024) grouped by AD myectomy status. Primary outcomes were dysphagia, dysarthria, throat pain, and neck tightness lasting &gt;1 month. Secondary outcomes included hematoma, seroma, scar revision, skin breakdown, and revision neck lift.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 452 patients with &gt;3 months\u2019 follow-up, 142 had no AD myectomy, and 310 had AD myectomy. Median age was 59 (53\u201365) versus 60 (54\u201364) years; 92% were female (89% vs. 94%). Median follow-up was 9.60 (4.53\u201316.69) versus 9.39 (5.78\u201313.35) months. Combination procedures were performed in 72% (59% vs. 78%), and submandibular gland reduction in 30.5% (0% vs. 44.5%). Primary complaints occurred in 9.9% (95% CI: 6.0\u201315.9) versus 10.0% (95% CI: 7.1\u201313.8) with no significant differences in dysphagia, dysarthria, or throat pain. Neck tightness was lower with AD myectomy: 4.8% versus 13.4%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.0015. Revision neck lift was lower with AD myectomy: 3.9% versus 9.2%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.027.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>AD myectomy does not increase functional complications and reduces neck tightness and revision surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26893614251399222","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T15:01:22Z","timestamp":1763996482000},"page":"361-367","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Patient-Reported Outcomes of Anterior Digastric Myectomy in Deep Plane Facelift and Neck Lift Surgery"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7957-1038","authenticated-orcid":false,"given":"Alan J.","family":"Gray","sequence":"first","affiliation":[{"name":"Starkman Facial Plastic Surgery, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidney J.","family":"Starkman","sequence":"additional","affiliation":[{"name":"Starkman Facial Plastic Surgery, Scottsdale, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1757729"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000712"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0044-1781455"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjab056"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2023.0050"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001526"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjac233"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjaa099"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1067\/maj.2000.105052"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X13502220"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asj.2005.12.001"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjw113"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000209406.80690.9f"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199003000-00001"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.4067\/S0717-95022023000501501"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-011-9392-7"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00467.2013"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199705010-00016"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000006364"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjw107"}],"container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26893614251399222","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26893614251399222","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26893614251399222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:45:18Z","timestamp":1785408318000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26893614251399222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,24]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7,1]]}},"alternative-id":["10.1177\/26893614251399222"],"URL":"https:\/\/doi.org\/10.1177\/26893614251399222","relation":{},"ISSN":["2689-3614","2689-3622"],"issn-type":[{"value":"2689-3614","type":"print"},{"value":"2689-3622","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,24]]}}}