Author(s)
Samuel Auger, MD
Ashley Diaz, BS
Anil Shah, MD
Affiliation(s)
Auger: University of Chicago, Section of Otolaryngology; Diaz: Pritzker School of Medicine, University of Chicago; Shah: University of Chicago, Section of Otolaryngology, Private Practice, Shah Aesthetics;
Abstract:
Background: Rejuvenation of the neck is limited by unfavorable hyoid position and underlying contour of deep neck structures. Employing a new technique to modify the proportional length of the anterior to posterior digastric muscles, the hyoid bone moved to a more favorable position.
Learning
Objectives: Describe novel technique to improve hyoid position and neck contour.
Study
Objective: Quantify improvement in hyoid height and relative lengths of digastric muscles.
Design Type: Retrospective analysis
Methods: Adobe Photoshop was used to measure the anterior to posterior digastric ratio on profile photographs before and after undergoing neck rejuvenation through two different techniques.
Results: 26 female patients (average age 55) underwent the new technique and were compared to 26 patients undergoing standard neck liposuction and NeckTite procedures. Distances between the menton, cervical point (CP), and gonion were measured. The anterior to posterior digastric ratio improved an average of 26.5% (p = 0.00) in the new technique group; 15.9% in liposuction and NeckTite alone. Distance of the CP to the inferior edge of the mandible decreased an average of 138.9% using the new technique.
Conclusions: This technique modifying the relative proportion of the digastric muscles reliably and favorably improved hyoid height and CP.