Managing the Components of the Aging Neck

The ideal appearance of the youthful neck is described as having a distinct inferior mandibular border with no jowls, subhyoid depression, visible thyroid cartilage bulge, distinct border to the sternocleidomastoid muscle, and a cervicomental angle between 105° and 120°. Treatment options are based on individualized patient assessment and vary from liposuction to submentalplasty alone to a traditional neck lift with the possibility of liposuction as well as submentalplasty. The authors discuss the techniques and possible complications.